Panoramic Radiology: Oncologic Dentistry Considerations

Abstract

Panoramic radiology can serve as an important input supporting the practice of oncologic dentistry. Not only are panoramic radiographs of value in the determination of the distribution of detected malignancies, they are also important (1) for planning dental treatment in preparation of the oral cavity prior to chemotherapy and radiation to reduce subsequent complications of cancer therapies; (2) for early detection of maxillofacial complications of cancer therapy when they do occur; and (3) to assist in detection of recurrent tumors within the maxillofacial complex. The dentist knowledgeable in oncologic dentistry can greatly assist in improving quality of life outcomes for many cancer patients receiving systemic chemotherapy, and also for patients receiving head and neck radiation therapy and/or surgery to treat head and neck tumors.

A comprehensive oral and dental screening should be part of the pretreatment workup of patients with cancer, especially those who have head and neck tumors (Fig. 16.1) [1–3].