Evaluation of radiotherapists' reports for treatment of prosthodontic patients after irradiation.

A simplified explanation of gaining insight into the radiotherapist's report in order to deal with a patient who has received radiation treatment has been discussed. The best method for increasing understanding of this report is to work in conjunction with the radiotherapist before and after the patient is given radium. Five factors are important in the treatment of the irradiated patient. These are: (1) initially recognizing the radiation patient, (2) understanding the radiotherapist's report, (3) following good prosthodontic principles, (4) integrating treatment with the radiotherapist's report to prevent future problems, and (5) maintaining extremely close follow-up to detect any sore spots that could lead to major complications such as bone or soft-tissue necrosis. A poor candidate for dentures is normally a difficult candidate following radiation. Not all patients are capable of tolerating a prosthesis following radiation therapy. However, for many, function and esthetics can be restored.

A modified stent for decompression of cysts.

Presented is a simple method for decompression of a cyst with the use of a modified stent. The patient is instructed in methods of removal, insertion, and irrigation by means of a blunt No. 16 gauge needle. Periodic follow-up radiographic examinations permit reduction in tube length as the defect "fills in".

Compressive facial splints.

A method of constructing long-term compressive splints for the regions of the head and neck using available materials has been described. These splints have been useful where continuous pressure is needed to promote healing or enhance treatment over long periods of time.