Cochrane · intervention · CD008857
Dental extractions prior to radiotherapy to the jaws for reducing post‐radiotherapy dental complications
Eliyas, S, Al‐Khayatt, A, Porter, RWJ, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library
Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
11
current version
GRADE rated
0
No studies
11
Included studies
0
as reported
No studies 11 · 100%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Patients diagnosed with head and neck cancer planned to undergo any type of radiotherapy (external beam, intensity modulated, image-guided, brachytherapy, conformal, or any other) to the jaws; any age, sex, or socio-economic status; any cancer type, oral hygiene, tobacco, or alcohol status; any radiation dose; unilateral or bilateral; with or without dental maintenance | No eligible studies identified |
| Intervention | Pre-radiotherapy dental extraction (extraction of teeth prior to radiotherapy); extraction of teeth during radiotherapy | No eligible studies identified |
| Comparison | Leaving teeth in situ/in place during radiotherapy; post-radiotherapy extraction; preventative/conservative treatment (oral hygiene instruction, fluoride, dietary advice, restoration of caries, management of periodontal disease) | No eligible studies identified |
| Outcomes | Primary: development of post-radiotherapy dental complications (caries, fractured teeth, periapical infection, periodontal disease, osteoradionecrosis). Secondary: patients' quality of life; delay in start of radiation treatment; trismus preventing further restorative treatment; overall survival | No eligible studies identified |
| Study designs | Randomised controlled trials (excluding split-mouth and cross-over trials) | No eligible studies identified |
| Timing | Not specified | No eligible studies identified |
Search date: 2012-11-22. Databases: The Cochrane Oral Health Group's Trials Register; Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE via OVID; EMBASE via OVID; CANCERLIT via PubMed; Cumulative Index of Nursing and Allied Health Literature (CINAHL) via EBSCO
Questions and results
Show all 2 versionsPre-radiotherapy extraction of diseased molar teeth vs Conservative treatment (restoration of the teeth and leaving them in place during radiotherapy, with oral health education and disease prevention: oral hygiene, fluoride, diet advice)
Population: Patients diagnosed with head and neck cancer planned to undergo any type of radiotherapy (external beam, intensity modulated, image-guided, brachytherapy, conformal, or any other) to the jaws; any age, sex, or socio-economic status; any cancer type, oral hygiene, tobacco, or alcohol status; any radiation dose; unilateral or bilateral; with or without dental maintenance
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Development of post-radiotherapy dental complications (caries, fractured teeth, periapical infection, periodontal disease, osteoradionecrosis) | no estimate extracted | 0 studies | No studies |
Trismus preventing further restorative treatment | no estimate extracted | 0 studies | No studies |
Delay in start of radiation treatment | no estimate extracted | 0 studies | No studies |
Patients' quality of life | no estimate extracted | 0 studies | No studies |
Overall survival | no estimate extracted | 0 studies | No studies |
Pre-radiotherapy extraction of healthy molar teeth vs Conservative treatment (leaving the teeth in place during radiotherapy, with oral health education and disease prevention: oral hygiene, fluoride, diet advice)
Population: Patients diagnosed with head and neck cancer planned to undergo any type of radiotherapy (external beam, intensity modulated, image-guided, brachytherapy, conformal, or any other) to the jaws; any age, sex, or socio-economic status; any cancer type, oral hygiene, tobacco, or alcohol status; any radiation dose; unilateral or bilateral; with or without dental maintenance
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall survival | no estimate extracted | 0 studies | No studies |
Trismus preventing further restorative treatment | no estimate extracted | 0 studies | No studies |
Patients' quality of life | no estimate extracted | 0 studies | No studies |
Delay in start of radiation treatment | no estimate extracted | 0 studies | No studies |
Development of post-radiotherapy dental complications (caries, fractured teeth, periapical infection, periodontal disease, osteoradionecrosis) | no estimate extracted | 0 studies | No studies |
Pre-radiotherapy dental extraction vs Post-radiotherapy dental extraction
Population: Patients diagnosed with head and neck cancer planned to undergo any type of radiotherapy (external beam, intensity modulated, image-guided, brachytherapy, conformal, or any other) to the jaws; any age, sex, or socio-economic status; any cancer type, oral hygiene, tobacco, or alcohol status; any radiation dose; unilateral or bilateral; with or without dental maintenance
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | no estimate extracted | 0 studies | No studies |