A convenient method for guarding against localized mucositis during radiation therapy.
Metal restorations, such as full gold crowns and dental implants, can cause forward and back scatter radiation during radiation therapy with a dose enhancement to adjacent tissues. Mucositis, one of the most common complications of the radiation treatment of oral, as well as other head and neck malignancies can result. A method for constructing a buccolingual guard in the clinical setting using hydroplastic material is described. The guard can be easily oriented and adapted to an existing radiation stent, adding positional stability and patient comfort. When adequate thickness of material is used, the guard can attenuate forward and back scatter radiation, separate the adjacent tissues from metal restorations, and protect the oral mucosa from localized incidents of mucositis.
Wang
R
R
Department of Restorative Dentistry, Case Western Reserve University, School of Dentistry, Cleveland, Ohio.
Boyle
A
A
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy; D016371:Cranial Irradiation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000528:radiation effects; D011835:Radiation Protection / Q000295:instrumentation* / Q000379:methods; D012542:Scattering, Radiation; D015607:Stents; D013280:Stomatitis / Q000209:etiology / Q000517:prevention & control*; D014062:Tongue Neoplasms / Q000532:radiotherapy