Vol. 5 (11) pp. 550-562 DOI: 10.21474/IJAR01/5801

THE EFFECT OF RADIOTHERAPY ON DENTAL PULP STATUS IN PATIENTS WITH HEAD AND NECK CANCER: A SYSTEMATIC REVIEW.

  • PhD student, Endodontic Department, Cairo University, Assistant Lecturer, Endodontic Department, Fayoum University.
  • Associate Professor, Endodontic Department, Cairo University.
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Abstract

Introduction: The purpose of this systematic review was to evaluate the literature and update our current understanding of the impact of present cancer radiotherapy (RT) on the dental pulp vitality. Method: A systematic literature search was conducted with assistance from a research librarian in the databases MEDLINE/PubMed, Cochrane, and Lilacs for published articles till May 2017. Each study was independently assessed by three reviewers. Taking into account recording the demographic data, tumor site, radiation dose, radiation device, follow up periods, method of pulp sensitivity testing, and collecting the results and conclusion of each article in tables, also critical appraisal of each article was performed using CASP checklist for case control and cohort studies. Results: Six eligible published papers between 1986 and 2016 were included and reviewed for a descriptive systematic review. Conclusion: The dental pulp in the pathway of ionizing radiation during RT of the head and neck region may not undergo either a complete loss or a decrease in vasculature and blood flow; therefore it may be prudent to wait at least for 5 months after RT to check for pulp vitality status. There continues to be lack of clinical studies on the effect of radiotherapy on the dental pulp health status especially on posterior teeth.

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How to Cite This Article

Mohamed Nageh, Alaa ELBaz and Geraldine. Ahmed. (2017); THE EFFECT OF RADIOTHERAPY ON DENTAL PULP STATUS IN PATIENTS WITH HEAD AND NECK CANCER: A SYSTEMATIC REVIEW., Int. J. of Adv. Res., 5 (11), 550-562, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/5801

Corresponding Author

mohamed nageh
Faculty of dentistry, Endodontic department, Fayoum University