頭頸部化学放射線治療後に多発う蝕を生じ口腔管理に苦慮した1例
書誌事項
- タイトル別名
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- A Case of Multiple Caries After Head and Neck Chemoradiotherapy and Difficulty with Oral Management
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Introduction: Radiation-induced dental caries is a late oral adverse event that should be considered after head and neck radiotherapy. However, there are no clinical guidelines for dental management after head and neck radiotherapy. We report a case of multiple dental caries that developed after head and neck radiotherapy in a patient in whom symptomatic treatment was challenging. <br> Case: A 67-year-old male was referred to our department with difficulty with oral intake secondary to occlusal insufficiency. He had a history of radiotherapy for hypopharyngeal carcinoma, and nearly all of his teeth only had residual roots. We found multiple carious teeth, including in areas outside of the radiation field. We designed a temporary denture in coordination with a dental office; however, it was difficult to extract all of the patient’s teeth. The patient was followed-up; however, he died of esophageal cancer. <br> Conclusion: Radiation-induced dental caries can even occur in teeth outside of the radiation field. In such cases, continuous preventative measures, such as oral care, are important, even before the start of radiotherapy.
収録刊行物
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- 歯科放射線
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歯科放射線 61 (2), 53-57, 2022
特定非営利活動法人 日本歯科放射線学会
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詳細情報 詳細情報について
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- CRID
- 1390854717833890688
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- ISSN
- 21856311
- 03899705
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- 抄録ライセンスフラグ
- 使用不可