Osteoradionecrosis (ORN) is a severe condition where bone tissue dies due to reduced blood supply following radiation therapy. It commonly affects the jawbone and occurs as a long-term side effect of radiation treatment, primarily in patients treated for head and neck cancers.
High-dose radiation therapy damages blood vessels, reducing blood flow to the affected bones.
Dental extractions or oral surgery in previously irradiated areas.
Poor oral hygiene or pre-existing dental infections.
Trauma or injury to the jawbone.
Smoking and alcohol consumption, which impair healing.
Persistent pain and swelling in the affected bone.
Exposed bone in the mouth that doesn’t heal.
Difficulty in chewing and swallowing.
Jaw stiffness or limited mouth opening (trismus).
Infection or pus discharge from the exposed bone.
Hyperbaric Oxygen Therapy (HBOT): Increases oxygen supply to the affected bone, promoting healing and reducing the risk of further necrosis.
Medications: Antibiotics to control infection and pain relievers for discomfort.
Debridement: Removal of dead bone tissue to prevent infection spread.
Surgical Intervention: In severe cases, reconstructive surgery or bone grafting may be required.
Good Oral Care: Professional dental cleanings and fluoride treatments to maintain oral health.
Regular dental check-ups before and after radiation therapy.
Maintaining excellent oral hygiene to prevent infections.
Avoiding dental extractions and invasive procedures in irradiated areas.
Quitting smoking and reducing alcohol intake.
Early intervention at the first sign of oral complications.
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