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颌面部恶性肿瘤,放射治疗最严重的并发症之一是放骨放射性骨髓炎。作者施行综合的预防措施:拔除牙根、牙槽突萎缩到根长(1/2)和(3/4)的牙齿、松动Ⅲ度和Ⅱ度的牙齿。治疗龋牙首先是龋齿的并发症。洁牙、治疗牙周病。保留的牙齿按装可摘夹板。在牙列上制备可摘的塑料帽(壁厚2-3毫米)、只是在放疗的当时戴上。观察210个病人,观察时间第1次是放疗后1个月,第2次3个月、第3次6个月,以后每年观察1次直到5年。按文献资料,接受放疗的病人,25-30%的人
Maxillofacial malignancy, one of the most serious complications of radiation therapy is osteoradioactive osteomyelitis. The authors performed comprehensive preventive measures: removal of roots, alveolar process atrophy to root length (1/2) and (3/4) teeth, and loosening of III-degree and II-degree teeth. Treatment of tooth decay is primarily a complication of dental caries. Clean teeth, treat periodontal disease. The retained teeth are fitted with removable splints. Extractable plastic caps (2-3 mm thick) were made on the dentition and were worn only at the time of radiotherapy. Observed 210 patients, the first observation time is 1 month after radiotherapy, the second 3 months, the third 6 months, then observed once every year until 5 years. According to literature data, 25-30% of patients undergoing radiotherapy