What Researchers Did
Researchers critically analyzed existing literature on controversial osteoradionecrosis (ORN) prevention techniques, including preradiation extractions and the use of prophylactic antibiotics or hyperbaric oxygen (HBO).
What They Found
The review found that the incidence of osteoradionecrosis (ORN) has been declining over the last two decades, partly due to more efficient radiation techniques. However, the available literature does not support the preradiation extraction of healthy or restorable teeth, nor is there sufficient evidence for prophylactic hyperbaric oxygen or antibiotics before oral surgical procedures in radiation patients.
What This Means for Canadian Patients
Canadian patients undergoing radiation therapy should prioritize excellent oral hygiene and regular dental evaluations to prevent osteoradionecrosis, rather than undergoing unnecessary preradiation extractions. Discussions with their healthcare team about maintaining dental health and avoiding prophylactic antibiotics or hyperbaric oxygen for routine extractions are crucial.
Canadian Relevance
This study has no specific Canadian connection.
Study Limitations
As a review, this study's findings are dependent on the quality and heterogeneity of the existing literature analyzed, which may contain inherent biases or limitations.