Oral Surgery · single question
A patient underwent chemotherapy 10 years ago and now refuses to take X-rays before extraction. What do you do?
Show answer and explanation
Correct answer: C. Refer to the oncologist before proceeding
✓ C) Refer to oncologist before proceeding is correct.
Post-chemotherapy/radiation patients: radiation-induced osteonecrosis (IONI) and MRONJ risk persist LIFETIME after treatment. Extraction without adequate radiographic assessment risks: undetected pathology, bone necrosis, poor healing. The oncologist can: (1) Provide current bone health status; (2) Confirm risk level for ORN; (3) Advise on pre-extraction hyperbaric oxygen therapy if needed; (4) Inform on current chemotherapy status. Without X-rays, proper treatment planning is impossible. Informed consent doesn't negate the need for appropriate pre-treatment assessment. Refer to oncologist.
Post-chemotherapy/radiation patients: radiation-induced osteonecrosis (IONI) and MRONJ risk persist LIFETIME after treatment. Extraction without adequate radiographic assessment risks: undetected pathology, bone necrosis, poor healing. The oncologist can: (1) Provide current bone health status; (2) Confirm risk level for ORN; (3) Advise on pre-extraction hyperbaric oxygen therapy if needed; (4) Inform on current chemotherapy status. Without X-rays, proper treatment planning is impossible. Informed consent doesn't negate the need for appropriate pre-treatment assessment. Refer to oncologist.