[{"@context":"https:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/nqsurgicaldentistry.com.au\/radiation-therapy-dental-extractions\/#BlogPosting","mainEntityOfPage":"https:\/\/nqsurgicaldentistry.com.au\/radiation-therapy-dental-extractions\/","headline":"Radiation Therapy and Dental Extractions","name":"Radiation Therapy and Dental Extractions","description":"[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;3.22.3&#8243; background_color=&#8221;#ffffff&#8221; custom_padding_tablet=&#8221;0px|0|0px|0||&#8221; custom_padding_phone=&#8221;&#8221; custom_css_main_element=&#8221;z-index: 0;&#8221; transparent_background=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221;][et_pb_fullwidth_header background_overlay_color=&#8221;rgba(255,255,255,0)&#8221; content_max_width=&#8221;none&#8221; module_id=&#8221;top-header&#8221; 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fullwidth=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;3.22.3&#8243; background_color=&#8221;#ffffff&#8221; custom_padding_tablet=&#8221;0px|0|0px|0||&#8221; custom_padding_phone=&#8221;&#8221; custom_css_main_element=&#8221;z-index: 0;&#8221; transparent_background=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221;][et_pb_fullwidth_header background_overlay_color=&#8221;rgba(255,255,255,0)&#8221; content_max_width=&#8221;none&#8221; module_id=&#8221;top-header&#8221; _builder_version=&#8221;3.22.4&#8243; title_font_size=&#8221;25px&#8221; background_color=&#8221;rgba(255,255,255,0)&#8221; background_image=&#8221;https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/cancer-treatment.jpg&#8221; hover_enabled=&#8221;0&#8243; custom_css_main_element=&#8221;height: 350px; padding: 1px;&#8221; background_url=&#8221;https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/cancer-treatment.jpg&#8221; button_one_letter_spacing_hover=&#8221;0&#8243; button_two_letter_spacing_hover=&#8221;0&#8243; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;on&#8221; button_one_letter_spacing__hover=&#8221;0&#8243; button_two_letter_spacing__hover_enabled=&#8221;on&#8221; button_two_letter_spacing__hover=&#8221;0&#8243; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_fullwidth_header][et_pb_fullwidth_header title=&#8221;Dental Extraction &#038; Radiation Therapy&#8221; content_max_width=&#8221;none&#8221; _builder_version=&#8221;4.9.4&#8243; background_color=&#8221;#0aaaaf&#8221; hover_enabled=&#8221;0&#8243; custom_css_main_element=&#8221;height: 80px; padding: 1px;&#8221; button_one_letter_spacing_hover=&#8221;0&#8243; button_two_letter_spacing_hover=&#8221;0&#8243; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;on&#8221; button_one_letter_spacing__hover=&#8221;0&#8243; button_two_letter_spacing__hover_enabled=&#8221;on&#8221; button_two_letter_spacing__hover=&#8221;0&#8243; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221; min_height_last_edited=&#8221;on|phone&#8221; min_height_phone=&#8221;110px&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.0.3&#8243; background_color=&#8221;#ffffff&#8221; custom_padding_tablet=&#8221;50px|0|50px|0&#8243; custom_padding_phone=&#8221;&#8221; top_divider_style=&#8221;wave2&#8243; top_divider_color=&#8221;#0aaaaf&#8221; top_divider_height=&#8221;32px&#8221; transparent_background=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;3.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; use_border_color=&#8221;off&#8221;]Dental Extraction or Surgery after Radiation Therapy to Neck and Head.\u00a0In this post of our \u201cMedication and Dental Surgery: How your medical history influences treatment decisions\u201c\u00a0series we are discussing dental surgery after radiation therapy. It is important that we consider such therapy when deciding on your treatment plan. Radiotherapy is designed to damage the cancer cells and cause a tumour to shrink.\u00a0 However, the adjacent normal body cells will also be damaged by the radiation too.\u00a0 As part of the damage caused to local body tissue near the tumour, the blood vessels will become partially closed by the formation of scarring or fibrous tissue.\u00a0 The narrow blood vessels can no longer deliver the usual quantity of blood to the local area.\u00a0 This is of particular relevance to the bone in the jaws. For example, a patient who previously received radiotherapy to the salivary gland tissue to shrink a tumour will receive some radiation in the nearby normal tissues, which may include the bone of the jaws.\u00a0 Radiotherapists try to limit the area of radiation scatter and this focusing of the radiation beam is referred to collimation.\u00a0 Modern techniques have greatly improved the success of collimation reducing the degree of collateral damage to normal tissue during radiotherapy but sometimes the jaws can be affected by the radiation. If the radiation has affected the adjacent jawbone, the blood supply will be compromised and the ability of the jaw to repair can be reduced.\u00a0 This can then result in failure of the extraction site or surgical site to heal with the development of a large area of damaged and dying bone at the surgical site.\u00a0 This is referred to as Osteoradionecrosis (ORN). If a patient has received radiotherapy of the head and neck region, they must inform the dentist and then the dentist can contact the Radiation Oncologist who will be able to advise on the risk of ORN depending on the site of radiation and the collimation achieved. In some patients who have received radiation therapy, it is necessary to arrange for hyperbaric oxygen therapy sessions at the Townsville Hospital before and after surgery to improve the blood supply to the operation site.\u00a0 If this is required, Dr Priestland and the consultant in the hyperbaric chamber at the Townsville Hospital will provide additional details.contact the friendly team at NQ Surgical Dentistry today on\u00a0(07) 4725 1656 or call in to see us at\u00a0183 Kings Rd, Pimlico QLD 4812Other posts in this seriesMedication and Dental Surgery: How your medical history influences treatment decisions &#8211; Click HereOsteoporosis medication influences dental extractions and dental surgery &#8211; Click HereDiabetes and dental treatment or surgery &#8211; Click HereDental extractions and surgery after radiation therapy of the head and neck &#8211; Click HereKnee or hip replacement surgery influences future dental management &#8211; Click HereThe influence of cardiac disease on dental management &#8211; Click HereAnticoagulant and anti-platelet medications influence management of dental extractions and dental surgery &#8211; Click HereCodeine sensitivity or allergy &#8211; Click HerePatients who routinely take steroid medications &#8211; Click Here[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; admin_label=&#8221;Services&#8221; _builder_version=&#8221;3.22&#8243; custom_margin=&#8221;|||&#8221; custom_padding=&#8221;0|0px|0|220px|false|false&#8221; custom_padding_tablet=&#8221;|0%|40px|0%|false|true&#8221; custom_padding_phone=&#8221;&#8221; border_radii=&#8221;||||20vw&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_vertical=&#8221;40px&#8221; box_shadow_blur=&#8221;60px&#8221; box_shadow_color=&#8221;rgba(0,64,135,0.06)&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; _builder_version=&#8221;4.0.3&#8243; background_color=&#8221;#0aaaaf&#8221; background_enable_color=&#8221;off&#8221; 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