European Journal of Prosthodontics and Restorative Dentistry

A Service Evaluation of Dental Assessments Prior to Treatment for Head and Neck Cancer in NHS Grampian


To minimise the risk of Osteoradionecrosis (ORN) following radiotherapy, dental assessments are carried out by Restorative Consultants to determine teeth of poor prognosis requiring extraction before the commencement of radiotherapy for oncological treatment. Social deprivation is a high-risk factor for poor oral health and head and neck cancer (HANC), consequently highlighting the importance of the prehabilitation pathway, including dental assessment. Aim: To retrospectively assess the demographics of the HAN oncology patient cohort, treatment modality, prehabilitation pathway and timeframe within NHS Grampian and highlight the role of the Restorative Dental Consultant. Materials and Methods: Retrospective assessment of 120 HANC patients’ clinical records from May 2018 to December 2019. The patients were selected as a continuous cohort from Restorative Consultant dental assessment clinics. Results: Radiotherapy
was the most common treatment modality, with 91% of patients receiving treatment; the mean time between completing dental extractions and commencing radiotherapy for oncological treatment was 17.98 days. Conclusion: The HANC prehabilitation pathway should be conducted in a timeframe that allows patients to have sufficient time for healing between extractions and oncological treatment commencing to reduce ORN risk. The study also demonstrates an increased incidence of HANC in areas of higher social deprivation.

Social Deprivation
Restorative Dentist
Prehabilitation Pathway
Restorative Dental Assessment
Head and Neck Cancer Dental


Yasmin A. Aydin, William Anderson, William Keys

Articles from this issue

Title / DOI Access Page Start Page End Purchase
Does Immediate Dentine Sealing Improve Bonding Effectiveness of Glass Ceramic Restorations Compared to Delayed Dentine Sealing?
no access 65 75 £10.00
Accuracy of Removable Partial Denture Frameworks Fabricated Using Conventional and Digital Technologies
no access 76 86 £10.00
Analysis of Biofilm Adhesion on CAD/CAM Lithium Disilicates Under Different Types of Intraoral Polishing
no access 87 95 £10.00
Prosthetic Management of Severe Mandibular Deviation in a Hemi-Mandibulectomy Patient Following Osteoradionecrosis
no access 96 106 £10.00
Trueness, 3D Deviation, Time and Cost Comparisons Between Milled and 3D-Printed Resin Single Crowns
no access 107 112 £10.00
Biomechanics of Different Types of PEEK as Implant Materials for Implant-Retained Mandibular Overdentures
no access 113 120 £10.00
A Service Evaluation of Dental Assessments Prior to Treatment for Head and Neck Cancer in NHS Grampian
no access 121 125 £10.00
Effect of Tannic Acid and Quercetin Antioxidants on Bond Strength of Resin Cement to Dentin after Internal Bleaching
no access 126 133 £10.00
BSSPD 2022 Conference Report free access 134 136 view
BSSPD Abstracts from the 2022 Conference free access 137 167 view
BSSPD Annual Conference 2023 free access 168 168 view
  • free access Free Access
  • no access No Access
  • full access Full Access