Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor board
Abstract Introduction The aim of this case series was to evaluate the necrosis of teeth adjacent to the site of mandibulotomy or mandibulectomy in a cohort of patients suffering from head and neck cancers. Methods Fourteen patients who underwent segmental mandibulectomy or paramedian mandibulotomy f...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-023-03050-7 |
| _version_ | 1797811287721246720 |
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| author | Raffaella Castagnola Cosimo Rupe Gioele Gioco Giovanni Almadori Jacopo Galli Luca Tagliaferri Alessandra Cassano Patrizia Gallenzi Carlo Lajolo |
| author_facet | Raffaella Castagnola Cosimo Rupe Gioele Gioco Giovanni Almadori Jacopo Galli Luca Tagliaferri Alessandra Cassano Patrizia Gallenzi Carlo Lajolo |
| author_sort | Raffaella Castagnola |
| collection | DOAJ |
| description | Abstract Introduction The aim of this case series was to evaluate the necrosis of teeth adjacent to the site of mandibulotomy or mandibulectomy in a cohort of patients suffering from head and neck cancers. Methods Fourteen patients who underwent segmental mandibulectomy or paramedian mandibulotomy for oral, oropharynx or major salivary gland cancer and a total of 23 teeth were included in this case series. Twelve patients underwent adjuvant head and neck radiotherapy. Cold sensitivity pulp testing and/or electric pulp testing were performed on teeth at the margin of mandibulectomy and on teeth adjacent to mandibulotomy after surgery. A “positive” response was considered the healthy state, and “negative” was considered the diseased state of the tooth. Results The 10 patients who underwent mandibulotomy had 12 teeth with a negative response. The 4 patients treated by mandibulectomy had two positive and three negative responses to cold and electric pulp tests. Fifteen out of 23 teeth (65.2%) showed a negative response to sensitivity testing. Conclusions Tooth necrosis seems to be a common event after mandibulectomy and mandibulotomy. Clinical Relevance To avoid post-surgery complications, performing root canal therapy before surgery on the teeth adjacent to the surgical site could be an appropriate strategy. |
| first_indexed | 2024-03-13T07:21:27Z |
| format | Article |
| id | doaj.art-a5b157e6bf6b429384e82e1ce3c8d338 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-13T07:21:27Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-a5b157e6bf6b429384e82e1ce3c8d3382023-06-04T11:40:23ZengBMCBMC Oral Health1472-68312023-06-012311710.1186/s12903-023-03050-7Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor boardRaffaella Castagnola0Cosimo Rupe1Gioele Gioco2Giovanni Almadori3Jacopo Galli4Luca Tagliaferri5Alessandra Cassano6Patrizia Gallenzi7Carlo Lajolo8Head and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro CuoreHead and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro CuoreHead and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro CuoreHead and Neck Department, Institute of Otolaryngology, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro CuoreHead and Neck Department, Institute of Otolaryngology, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro CuoreDepartment of Radiation Oncology, Institute of Radiology, Fondazione Policlinico Universitario A. Gemelli- IRCCS, Università Cattolica del Sacro CuoreDepartment of Medical Oncology, Institute of Radiology, Fondazione Policlinico Universitario A. Gemelli- IRCCS, Università Cattolica del Sacro CuoreHead and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro CuoreHead and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro CuoreAbstract Introduction The aim of this case series was to evaluate the necrosis of teeth adjacent to the site of mandibulotomy or mandibulectomy in a cohort of patients suffering from head and neck cancers. Methods Fourteen patients who underwent segmental mandibulectomy or paramedian mandibulotomy for oral, oropharynx or major salivary gland cancer and a total of 23 teeth were included in this case series. Twelve patients underwent adjuvant head and neck radiotherapy. Cold sensitivity pulp testing and/or electric pulp testing were performed on teeth at the margin of mandibulectomy and on teeth adjacent to mandibulotomy after surgery. A “positive” response was considered the healthy state, and “negative” was considered the diseased state of the tooth. Results The 10 patients who underwent mandibulotomy had 12 teeth with a negative response. The 4 patients treated by mandibulectomy had two positive and three negative responses to cold and electric pulp tests. Fifteen out of 23 teeth (65.2%) showed a negative response to sensitivity testing. Conclusions Tooth necrosis seems to be a common event after mandibulectomy and mandibulotomy. Clinical Relevance To avoid post-surgery complications, performing root canal therapy before surgery on the teeth adjacent to the surgical site could be an appropriate strategy.https://doi.org/10.1186/s12903-023-03050-7Head and Neck CancerOral CancerMandibulotomyMandibulectomyTooth prognosisTooth survival |
| spellingShingle | Raffaella Castagnola Cosimo Rupe Gioele Gioco Giovanni Almadori Jacopo Galli Luca Tagliaferri Alessandra Cassano Patrizia Gallenzi Carlo Lajolo Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor board BMC Oral Health Head and Neck Cancer Oral Cancer Mandibulotomy Mandibulectomy Tooth prognosis Tooth survival |
| title | Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor board |
| title_full | Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor board |
| title_fullStr | Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor board |
| title_full_unstemmed | Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor board |
| title_short | Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor board |
| title_sort | clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer results from a multidisciplinary mono institutional head and neck tumor board |
| topic | Head and Neck Cancer Oral Cancer Mandibulotomy Mandibulectomy Tooth prognosis Tooth survival |
| url | https://doi.org/10.1186/s12903-023-03050-7 |
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