Subjects
-Tags
-Abstract
Aim: The aim of this study is to evaluate the efficacy of an interocclusal acrylic bite block as a preventative and conservative tool to prevent or minimize post radiation trismus in an effort to improve the quality of life of irradiated patients.
Patients and Methods: Twenty patients with confirmed newly diagnosed head and neck cancer planned for radiation therapy, were selected. A custom-made inter occlusal acrylic splint was fabricated for each patient before radiation therapy started. Physiotherapy - using the acrylic block and assisted range of motion exercises - were instructed for the patients during the first 12 months following end of radiation therapy. Maximum interincisal openings were recorded prior to initiation of radiation therapy and then readings were taken monthly after completion of radiation therapy for 12 months.
Results: All patients except one have shown decrease in inter incisal openings. The decrease was statistically insignificant and non-of the patients included in this study exhibited trismus.
Conclusion: In this observational study the use of the inter occlusal acrylic block has shown promise in preventing post radiation trismus in addition to being cost effective. Further studies with more standardization and randomization are required to further prove the efficacy of this method.
DOI
10.21608/edj.2020.42383.1267
Keywords
Radiotherapy, Trismus, Physiotherapy
Authors
MiddleName
-Affiliation
Department of Oral and Maxillofacial Surgery, Nasser Institute for Research and Treatment
Email
hesham.abdelmotalib@gmail.com
Orcid
-MiddleName
-Affiliation
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University
Email
mostafatalaat771977@yahoo.com
Orcid
-MiddleName
-Affiliation
Departement of Radiotherapy and Nuclear Medicine, National Cancer Institute, Cairo University
Email
ehab.khalil@nci.cu.edu.eg
Orcid
-Affiliation
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University
Orcid
-Article Issue
Issue 1 - January (Oral Surgery)
Link
https://edj.journals.ekb.eg/article_134461.html
Detail API
https://edj.journals.ekb.eg/service?article_code=134461
Publication Title
Egyptian Dental Journal
Publication Link
https://edj.journals.ekb.eg/
MainTitle
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