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Complete Occlusal Rehabilitation of Patient with Radiation Caries – A Case Report

Identifieur interne : 000131 ( Pmc/Curation ); précédent : 000130; suivant : 000132

Complete Occlusal Rehabilitation of Patient with Radiation Caries – A Case Report

Auteurs : Zishan Rashid Dangra ; Mahesh Arvind Gandhewar

Source :

RBID : PMC:4225996

Abstract

One of the most distressing and dramatic causes of xerostomia is radiotherapy for the cure of maxillofacial and neck carcinomas. Patient with radiotherapy induced xerostomia presents with challenges in prosthodontic management and in unique radiation caries control. This clinical report illustrates step by step execution of complex treatment planning that lead to successful outcome in 34-year-old man, who had been treated with Radical Neck Dissection (RND) and therapeutic radiotherapy for squamous cell carcinoma of tongue and due to radiation caries, was presented with chief complaint of difficulty in mastication. Rehabilitation was carried out with metal-ceramic fixed restorations and cast removable prostheses after extensive endodontic intervention. This article also discusses the maintenance strategies for radiation caries patient requiring complete occlusal reconstruction, who certainly presents with special needs in post-treatment management.


Url:
DOI: 10.7860/JCDR/2014/10162.4873
PubMed: 25386544
PubMed Central: 4225996

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PMC:4225996

Le document en format XML

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<nlm:aff id="aff1"> Private Practitioner,
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<name sortKey="Gandhewar, Mahesh Arvind" sort="Gandhewar, Mahesh Arvind" uniqKey="Gandhewar M" first="Mahesh Arvind" last="Gandhewar">Mahesh Arvind Gandhewar</name>
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<name sortKey="Gandhewar, Mahesh Arvind" sort="Gandhewar, Mahesh Arvind" uniqKey="Gandhewar M" first="Mahesh Arvind" last="Gandhewar">Mahesh Arvind Gandhewar</name>
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<title level="j">Journal of Clinical and Diagnostic Research : JCDR</title>
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<p>One of the most distressing and dramatic causes of xerostomia is radiotherapy for the cure of maxillofacial and neck carcinomas. Patient with radiotherapy induced xerostomia presents with challenges in prosthodontic management and in unique radiation caries control. This clinical report illustrates step by step execution of complex treatment planning that lead to successful outcome in 34-year-old man, who had been treated with Radical Neck Dissection (RND) and therapeutic radiotherapy for squamous cell carcinoma of tongue and due to radiation caries, was presented with chief complaint of difficulty in mastication. Rehabilitation was carried out with metal-ceramic fixed restorations and cast removable prostheses after extensive endodontic intervention. This article also discusses the maintenance strategies for radiation caries patient requiring complete occlusal reconstruction, who certainly presents with special needs in post-treatment management.</p>
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<journal-id journal-id-type="nlm-ta">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="iso-abbrev">J Clin Diagn Res</journal-id>
<journal-id journal-id-type="hwp">Journal of Clinical and Diagnostic Research</journal-id>
<journal-id journal-id-type="publisher-id">JCDR</journal-id>
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<journal-title>Journal of Clinical and Diagnostic Research : JCDR</journal-title>
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<issn pub-type="ppub">2249-782X</issn>
<issn pub-type="epub">0973-709X</issn>
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<publisher-name>JCDR Research and Publications (P) Limited</publisher-name>
<publisher-loc>Delhi, India</publisher-loc>
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<article-id pub-id-type="doi">10.7860/JCDR/2014/10162.4873</article-id>
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<subject>Dentistry</subject>
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<article-title>Complete Occlusal Rehabilitation of Patient with Radiation Caries – A Case Report</article-title>
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Professor and Head, Department of Prosthodontics,
<institution>ACPM Dental College</institution>
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<addr-line>Dhule, India</addr-line>
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<author-notes>
<corresp id="cor1">NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR: Dr. Zeeshan Dangra, Private Practitioner, Mumbai - 400703,India. Phone : 9714728784, E-mail :
<email>zeeshandangra@gmail.com</email>
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<month>9</month>
<year>2014</year>
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<day>20</day>
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<volume>8</volume>
<issue>9</issue>
<fpage>ZD34</fpage>
<lpage>ZD36</lpage>
<history>
<date date-type="received">
<day>07</day>
<month>6</month>
<year>2014</year>
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<date date-type="rev-request">
<day>22</day>
<month>7</month>
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<permissions>
<copyright-statement>© 2014 Journal of Clinical and Diagnostic Research</copyright-statement>
<copyright-year>2014</copyright-year>
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<abstract>
<p>One of the most distressing and dramatic causes of xerostomia is radiotherapy for the cure of maxillofacial and neck carcinomas. Patient with radiotherapy induced xerostomia presents with challenges in prosthodontic management and in unique radiation caries control. This clinical report illustrates step by step execution of complex treatment planning that lead to successful outcome in 34-year-old man, who had been treated with Radical Neck Dissection (RND) and therapeutic radiotherapy for squamous cell carcinoma of tongue and due to radiation caries, was presented with chief complaint of difficulty in mastication. Rehabilitation was carried out with metal-ceramic fixed restorations and cast removable prostheses after extensive endodontic intervention. This article also discusses the maintenance strategies for radiation caries patient requiring complete occlusal reconstruction, who certainly presents with special needs in post-treatment management.</p>
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<kwd-group>
<kwd>Complete occlusal rehabilitation</kwd>
<kwd>Radiation caries</kwd>
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