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Article: Incidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: A systematic review

TitleIncidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: A systematic review
Authors
Keywordsextraction
osteoradionecrosis
systematic review
Issue Date2011
PublisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/ijom
Citation
International Journal Of Oral And Maxillofacial Surgery, 2011, v. 40 n. 3, p. 229-243 How to Cite?
AbstractThis systematic review aims to identify and review the best available evidence to answer the clinical question 'What are the incidence and the factors influencing the development of osteoradionecrosis after tooth extraction in irradiated patients?'. A systematic review of published articles on post-irradiation extraction was performed via electronic search of the Medline, Ovid, Embase and Cochrane Library databases. Additional studies were identified by manual reference list search. Evaluation and critical appraisal were done in 3 stages by two independent reviewers and any disagreement was resolved by discussion with a third party. 19 articles were selected for the final analysis. The total incidence of osteoradionecrosis after tooth extraction in irradiated patients was 7%. When extractions were performed in conjunction with prophylactic hyperbaric oxygen, the incidence was 4% while extraction in conjunction with antibiotics gave an incidence of 6%. This systematic review found that while the incidence of osteoradionecrosis after post-irradiation tooth extractions is low, the extraction of mandibular teeth within the radiation field in patients who received a radiation dose higher than 60 Gy represents the highest risk of developing osteoradionecrosis. Based on weak evidence, prophylactic hyperbaric oxygen is effective in reducing the risk of developing osteoradionecrosis after post-radiation extractions. © 2010 International Association of Oral and Maxillofacial Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/142281
ISSN
2015 Impact Factor: 1.563
2015 SCImago Journal Rankings: 0.854
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNabil, Sen_HK
dc.contributor.authorSamman, Nen_HK
dc.date.accessioned2011-10-28T02:42:04Z-
dc.date.available2011-10-28T02:42:04Z-
dc.date.issued2011en_HK
dc.identifier.citationInternational Journal Of Oral And Maxillofacial Surgery, 2011, v. 40 n. 3, p. 229-243en_HK
dc.identifier.issn0901-5027en_HK
dc.identifier.urihttp://hdl.handle.net/10722/142281-
dc.description.abstractThis systematic review aims to identify and review the best available evidence to answer the clinical question 'What are the incidence and the factors influencing the development of osteoradionecrosis after tooth extraction in irradiated patients?'. A systematic review of published articles on post-irradiation extraction was performed via electronic search of the Medline, Ovid, Embase and Cochrane Library databases. Additional studies were identified by manual reference list search. Evaluation and critical appraisal were done in 3 stages by two independent reviewers and any disagreement was resolved by discussion with a third party. 19 articles were selected for the final analysis. The total incidence of osteoradionecrosis after tooth extraction in irradiated patients was 7%. When extractions were performed in conjunction with prophylactic hyperbaric oxygen, the incidence was 4% while extraction in conjunction with antibiotics gave an incidence of 6%. This systematic review found that while the incidence of osteoradionecrosis after post-irradiation tooth extractions is low, the extraction of mandibular teeth within the radiation field in patients who received a radiation dose higher than 60 Gy represents the highest risk of developing osteoradionecrosis. Based on weak evidence, prophylactic hyperbaric oxygen is effective in reducing the risk of developing osteoradionecrosis after post-radiation extractions. © 2010 International Association of Oral and Maxillofacial Surgeons.en_HK
dc.languageengen_US
dc.publisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/ijomen_HK
dc.relation.ispartofInternational Journal of Oral and Maxillofacial Surgeryen_HK
dc.subjectextractionen_HK
dc.subjectosteoradionecrosisen_HK
dc.subjectsystematic reviewen_HK
dc.subject.meshAnti-Bacterial Agents - therapeutic use-
dc.subject.meshHead and Neck Neoplasms - radiotherapy-
dc.subject.meshHyperbaric Oxygenation-
dc.subject.meshJaw Diseases - etiology - prevention and control-
dc.subject.meshOsteoradionecrosis - etiology - prevention and control-
dc.titleIncidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: A systematic reviewen_HK
dc.typeArticleen_HK
dc.identifier.emailSamman, N:nsamman@hkucc.hku.hken_HK
dc.identifier.authoritySamman, N=rp00021en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ijom.2010.10.005en_HK
dc.identifier.pmid21115324-
dc.identifier.scopuseid_2-s2.0-79952316759en_HK
dc.identifier.hkuros184621en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79952316759&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume40en_HK
dc.identifier.issue3en_HK
dc.identifier.spage229en_HK
dc.identifier.epage243en_HK
dc.identifier.eissn1399-0020-
dc.identifier.isiWOS:000288981100001-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridNabil, S=42661918800en_HK
dc.identifier.scopusauthoridSamman, N=7006413627en_HK

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