Re: Implant placement after radiation in pateint with CA

As of now i do not have enough knowledge on this particular case report but what i have compiled below is from few dentists blogs,,this should be of help::

REFER THE PATIENT TO AN ORAL AND MAXILLOFACIAL SURGEON. Work with the OMFS to plan how to proceed. This is a case where you need to stick to the restorative aspects of the case and let the surgeon do the surgery.

This is not a case for people who cannot manage the complications associated with the risks from previous radiation therapy, namely Osteoradionecrosis (ORN).

When a patient reports a history of radiation therapy it is important to know the Radiation Dosages Received, The location and ports of radiation therapy. The complications from Radiation Therapy INCREASE OVER TIME… THEY GET WORSE! The tissues become HYPOXIC, HYPOCELLULAR, and HYPOVASCULAR, increasingly so over time.

Bottom line… Do what is best for the patient. This means help them receive the best care possible, and in this case YOU STICK TO BEING THE RESTORATIVE DENTIST and let someone else assume the risks of Surgery.I know many General Dentists who are capable of treating these cases, and sometimes they do… BUT THEY ARE ADDITIONALLY QUALIFIED, because 1) They have Significant Hospital and Oncology Training Backgrounds 2) They work very closely with OMFS, Radiation Oncology, the Oncologists, and the Hyperbaric Oxygen Team.
3) They have proper informed consent paperwork as well.
4) They have hospital privileges as well. They take these “full-mouth extractions” to the Hospital OR (not because they aren’t capable of doing it in their office) but to help the patient understand the gravity of the situation and the risks they are taking.