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1 results

  • Dental extraction planning in head and neck cancer patients: a qualitative study to understand pre-radiotherapy management

  • Claire Massagee Lanier, Sarah Elizabeth Glynn, Sarah Lee, Judith Messura, Jennifer L. Hendren, Michelle Ruse, Lauren McNeil, Cheyenne R. Wagi, Sarah A. Birken, Ryan T. Hughes
  • Journal:
    Journal of Radiotherapy in Practice / Volume 24 / 2025
    Published online by Cambridge University Press:
    12 March 2025, e8
    • Article
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  • Introduction:

    Dental management is critical prior to radiotherapy (RT) for head and neck cancer (HNC) but cumbersome and time intensive. This qualitative study investigates dentists’ evaluative processes to identify areas for improvement.

    Methods:

    Semi-structured interviews were conducted with dentists involved in the care of HNC patients. The interviews were guided by the Consolidated Framework for Implementation Research and the Theoretical Domains Framework to identify factors influencing pre-RT dental management.

    Results:

    Five dentists were participated in the interviews. Key themes were identified through qualitative and quantitative evaluation and are as follows: Coordination among care providers, knowledge of the RT plan, visual depictions of dose distribution and understanding of the patient’s dental history.

    Conclusions:

    This study demonstrates the complexity of pre-RT management and identifies key elements. Knowledge of the RT plan and improved interdisciplinary coordination represents opportunities for improvement. Visual dose prediction methods may expedite and improve pre-RT management.