title: Management of dental complications in a child with rhabdomyosarcoma.
abstract: Radiotherapy treatment options can cause adverse dental sequelae, including xerostomia, dental radiation caries, abnormal tooth development, and osteoradionecrosis (ORN). Hyperbaric oxygen (HBO) therapy can be used prophylactically or therapeutically to treat or reduce the risk of ORN.  The purpose of this paper was to describe a case involving a 5-year-old male with rhabdomyosarcoma of the left temporal fossa and a history of radiation therapy who presented with gross radiation caries and xerostomia. Full-mouth extractions of all primary teeth were performed under general  anesthesia, with the patient receiving HBO therapy before and after the surgery. The child was monitored postoperatively, and healing occurred with minimal post-operative complications. Based on his results, it can be concluded that hyperbaric oxygen therapy is an effective supplement to consider  when treating children who have undergone radiation therapy and require dental care.
authors.affiliation: Jacobi Medical Center, New York City, NY, USA.
authors.forename: Golnaz
authors.initials: G
authors.lastname: Jalali
authors.forename: John H
authors.initials: JH
authors.lastname: Unkel
authors.forename: James A
authors.initials: JA
authors.lastname: Reed
mesh_terms: D000016:Abnormalities, Radiation-Induced; D002675:Child, Preschool; D035262:Cranial Fossa, Anterior; D016371:Cranial Irradiation / Q000009:adverse effects*; D003731:Dental Caries / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D012208:Rhabdomyosarcoma / Q000532:radiotherapy*; D019292:Skull Base Neoplasms / Q000532:radiotherapy*; D014071:Tooth Abnormalities / Q000209:etiology; D014081:Tooth Extraction; D014987:Xerostomia / Q000150:complications / Q000209:etiology* / Q000628:therapy