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Empfehlung für die Zahnsanierung vor intensitätsmodulierter Radiotherapie (IMRT). UniversitätsSpital Zürich (USZ)-Richtlinien-Anpassung


Studer, G; Glanzmann, C; Studer, S P; Grätz, K W; Lütolf, U M; Zwahlen, R A (2007). Empfehlung für die Zahnsanierung vor intensitätsmodulierter Radiotherapie (IMRT). UniversitätsSpital Zürich (USZ)-Richtlinien-Anpassung. Schweizer Monatsschrift für Zahnmedizin SMfZ, 117(6):637-647.

Abstract

This article is aimed to inform about the recently performed adjustments of the established standard procedures for pre-radiotherapeutic dental care (GROTZ 2003; Shaw et al. 2000) on intensity modulated radiation therapy (IMRT) at the Department of Radiation Oncology, University Hospital Zurich (USZ).The adjustments described base on prospectively assessed results and clinical observations of more than 300 head and neck cancer patients treated with definitive or postoperative IMRT at the own institution. In order to explain the clinical differences between conventional radiation techniques and IMRT, a brief introduction section addresses characteristics of IMRT delivery, optimization of normal tissue sparing, and resulting improved normal tissue tolerance (Fig. 1a-c). In conclusion, careful adjustments of pre-treatment dental care as proposed (Tab. I) are recommended for IMRT patients. This requires close case-related interdisciplinary cooperation between the referring radiation oncologist and the dentist or dental care centre, respectively. The depicted sketches (Fig. 2) are thought to get completed by the radiation oncologist, in order to inform the dentist about topographic risk areas/levels for radiation-induced late effects.

This article is aimed to inform about the recently performed adjustments of the established standard procedures for pre-radiotherapeutic dental care (GROTZ 2003; Shaw et al. 2000) on intensity modulated radiation therapy (IMRT) at the Department of Radiation Oncology, University Hospital Zurich (USZ).The adjustments described base on prospectively assessed results and clinical observations of more than 300 head and neck cancer patients treated with definitive or postoperative IMRT at the own institution. In order to explain the clinical differences between conventional radiation techniques and IMRT, a brief introduction section addresses characteristics of IMRT delivery, optimization of normal tissue sparing, and resulting improved normal tissue tolerance (Fig. 1a-c). In conclusion, careful adjustments of pre-treatment dental care as proposed (Tab. I) are recommended for IMRT patients. This requires close case-related interdisciplinary cooperation between the referring radiation oncologist and the dentist or dental care centre, respectively. The depicted sketches (Fig. 2) are thought to get completed by the radiation oncologist, in order to inform the dentist about topographic risk areas/levels for radiation-induced late effects.

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Additional indexing

Other titles:Recommendations for dental care prior to intensity-modulated radiotherapy (IMRT). Adaptation of the University Hospital Zurich (USZ) guidelines
Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Cranio-Maxillofacial Surgery
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:June 2007
Deposited On:17 Jun 2008 07:32
Last Modified:05 Apr 2016 12:23
Publisher:Schweizerische Zahnärzte-Gesellschft
ISSN:0256-2855
Additional Information:Free full text article
Official URL:http://www.sso.ch/doc/doc_download.cfm?uuid=9565ABA0D9D9424C400D72D71FE92694&&IRACER_AUTOLINK&&
PubMed ID:17691423
Permanent URL: http://doi.org/10.5167/uzh-2595

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