Pediatric Dentistry · single question

A patient who has completed chemotherapy and radiotherapy treatment requires dental extractions. What is the most appropriate next step?

  1. Call the patient’s oncologist to discuss the prognosis.
  2. Ask the oncologist about the medications the patient is currently taking.
  3. Proceed with the extractions with prophylactic antibiotics.
  4. Delay the procedure until full recovery without consulting the oncologist.
Show answer and explanation

Correct answer: B. Ask the oncologist about the medications the patient is currently taking.

Before performing extractions in a patient who has undergone chemotherapy and radiotherapy, it is critical to consult the oncologist. This ensures: Knowledge of any bisphosphonates or RANKL inhibitors, which increase the risk of medication-related osteonecrosis of the jaw (MRONJ). Understanding of the patient’s current immune status and healing potential. Timing of extractions relative to cancer treatment recovery. Prophylactic antibiotics may be necessary, but the oncologist’s input is essential first.

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