Prosthetic Complications in Head and Neck Cancer Treatment

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24 Questions

What is the primary concern when designing a removable partial denture for a maxillofacial patient?

The impact of the altered environment on prosthesis support, stability, and retention

Which type of defect is typically craniofacial and present from birth?

Congenital defect

What is the most common type of maxillofacial defect managed by using removable prostheses?

Acquired defect

What is the classification of a prosthesis that is used as a component of management, such as a splint or stent?

Treatment prosthesis

What is the primary consideration when timing dental and maxillofacial prosthetic care for acquired defects?

The timing of surgical interventions

What is the classification of a prosthesis that is used to replace a part of the face or skull?

Extraoral prosthesis

What type of defect occurs because of some genetic predisposition that is expressed during growth and development?

Developmental defect

What is a major complication associated with radiation therapy and chemotherapy that affects interim prosthetic service?

Mucositis

What is the purpose of a definitive prosthesis?

To provide a permanent solution for the patient's defect

What is the primary goal of defect hygiene practices in patients with craniofacial defects?

To promote quicker healing and improve prosthesis fitting

What long-term effect of radiation therapy poses a significant threat to remaining dentition?

Obliterative endarteritis

When can definitive prosthetic care begin after active treatment without surgical reconstruction?

Once the defect tissue matures enough to handle aggressive manipulation

What is a common practice used in defect hygiene to improve oral hygiene?

Rinsing with a bulb syringe

Why is maintaining a high level of oral hygiene crucial for patients with xerostomia?

To reduce the risk of caries

What is a challenge in controlling leakage on swallowing in patients with midline soft palatal resections?

Retaining functional movement of the remaining soft palate

What is the primary emphasis of prosthetic management after active treatment?

Prosthetic management

What is the primary focus of a framework for coordinating dental care for patients with acquired defects?

Surgical needs first, followed by prosthetic needs

When should the planning of prosthetic treatment for acquired oral defects begin?

Before surgery

What is one of the dental objectives of the preoperative and intraoperative care stages?

To remove potential dental postoperative complications

Why is it beneficial to discuss strategically important teeth with the surgical team before surgery?

To plan for their preservation for definitive and/or interim prosthesis use

What should be done with teeth deemed nonrestorable due to advanced caries or periodontal disease?

They should be removed before, or at the time of, surgical resection

What can be done with large carious lesions that could create pain during the postoperative period?

They should be temporarily restored by endodontic therapy

Why should teeth exhibiting acute periodontal disease be treated during the preoperative and intraoperative care stages?

To prevent postoperative pain

What is the primary goal of the preoperative and intraoperative care stages?

To remove potential dental postoperative complications and plan for subsequent prosthetic treatment

This quiz assesses the difficulties in controlling leakage on swallowing post head and neck cancer treatment, specifically with midline soft palatal resection and radiation therapy. It covers the effects of chemotherapy and radiation on oral health and prosthetic services.

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