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134461

Evaluation of an interocclusal acrylic block for prevention of post radiation trismus

Article

Last updated: 22 Jan 2023

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Tags

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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

First Name

Hesham

Last Name

Abdel Motaleb

MiddleName

-

Affiliation

Department of Oral and Maxillofacial Surgery, Nasser Institute for Research and Treatment

Email

hesham.abdelmotalib@gmail.com

City

Cairo

Orcid

-

First Name

Mostafa

Last Name

El-Gengehi

MiddleName

-

Affiliation

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University

Email

mostafatalaat771977@yahoo.com

City

Cairo

Orcid

-

First Name

Ehab

Last Name

Khalil

MiddleName

-

Affiliation

Departement of Radiotherapy and Nuclear Medicine, National Cancer Institute, Cairo University

Email

ehab.khalil@nci.cu.edu.eg

City

Ciro

Orcid

-

First Name

Emad

Last Name

Helmy

MiddleName

Saeed

Affiliation

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University

Email

emadoms@hotmail.com

City

Cairo

Orcid

-

Volume

67

Article Issue

Issue 1 - January (Oral Surgery)

Related Issue

20068

Issue Date

2021-01-01

Receive Date

2020-09-20

Publish Date

2021-01-01

Page Start

203

Page End

209

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_134461.html

Detail API

https://edj.journals.ekb.eg/service?article_code=134461

Order

6

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

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Details

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Article

Created At

22 Jan 2023