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NCT04009161

Osteoradionecrosis Rate in Patients Undergoing Radiotherapy for Head and Neck Cancer Treatment.

Status unknown Last updated 30 August 2023
What this trial tests

trial testing Tooth extraction in Head and Neck Cancer in 160 participants. Status unknown.

Timeline
14 March 2017
Primary endpoint
1 June 2023
1 June 2025

Quick facts

Lead sponsorCatholic University of the Sacred Heart
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment160
Start date14 March 2017
Primary completion1 June 2023
Estimated completion1 June 2025
Sites1 location across Italy

Drugs / interventions tested

Conditions studied

Sponsor

Catholic University of the Sacred Heart

Who can join

Eligibility, any sex, with Head and Neck Cancer or Osteoradionecrosis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Objectives High-dose radiotherapy (RT) for head and neck cancer has significant adverse effects on maxillofacial tissues, among which osteoradionecrosis (ORN) is the most severe and potentially life-threatening. Although tooth extractions seem to be the main risk factor, few perspective studies evaluated protocols to minimize the ORN risk due to extractions. The aim of this study is to evaluate incidence and risk factors of ORN in a cohort of patients receiving tooth extractions before RT and evaluate an algorithm about extraction decision. Methods One-hundred ten patients were consecutively recruited in this study: impacted third molars with radiographic sign of pericoronitis, teeth with periapical lesions, unrestorable teeth, periodontally compromised teeth (pocket probing depth \>5 mm, clinical attachment loss \> 8 mm, grade 2 tooth mobility, II grade furcation involvement) were extracted under antibiotic prophylaxis. A 15-days interval between the last tooth extraction and the beginning of RT was recommended. Patients were visited at 15 days, 1, 3 and 6 months after the beginning of RT. Data of patients with a minimum of 6 months follow-up are presented in this report. ORN was defined as irradiated exposed necrotic bone, without healing for 3 months, in absence of cancer recurrence. The protocol was approved by the Ethic Committee of Catholic University - Fondazione Policlinico Gemelli (Prot. OHHN-1, ID-2132).

Publications & conference data

6 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Oral Health Status in Patients with Head and Neck Cancer before Radiotherapy: Baseline Description of an Observational Prospective Study.
    Rupe C, Basco A, Schiavelli A, Cassano A, et al · · 2022 · cited 18× · PMID 35326564 · DOI 10.3390/cancers14061411
  2. Oral <i>Candida</i> spp. Colonisation Is a Risk Factor for Severe Oral Mucositis in Patients Undergoing Radiotherapy for Head & Neck Cancer: Results from a Multidisciplinary Mono-Institutional Prospective Observational Study.
    Rupe C, Gioco G, Almadori G, Galli J, et al · · 2022 · cited 17× · PMID 36230669 · DOI 10.3390/cancers14194746
  3. Osteoradionecrosis incidence in pre-radiation teeth extractions: A prospective study.
    Rupe C, Gioco G, Massaccesi M, Tagliaferri L, et al · · 2024 · cited 10× · PMID 38591808 · DOI 10.1111/odi.14941
  4. Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor board.
    Castagnola R, Rupe C, Gioco G, Almadori G, et al · · 2023 · cited 5× · PMID 37270480 · DOI 10.1186/s12903-023-03050-7
  5. Differences in oral health status between cancer patients: a case-control observational study.
    Rupe C, Gioco G, Tranfa M, Scilla F, et al · · 2025 · PMID 41327109 · DOI 10.1186/s12903-025-06963-7
  6. Letter to the editor referencing "Body composition changes in patients with head and neck cancer under active treatment: a scoping review".
    Cacicedo J, Mendizabal N, Arietaleanizbeaskoa MS. · · 2022 · PMID 33742245 · DOI 10.1007/s00520-021-05999-z

Verify or expand the search:

Other trials of Tooth extraction

Trials testing the same drug.

Other recruiting trials for Head and Neck Cancer

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Other Catholic University of the Sacred Heart trials

Trials by the same sponsor.

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Data sources for this page

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