Patient selection: head and neck cancer
Dental changes secondary to radiation:
(1) dental demineralization
(2) cracked tooth syndrome, including enamel craze lines
(3) dental caries
(4) loosening of teeth secondary to bone resorption
(5) altered binding of restorative/adhesive materials
Factors affecting the dental change:
(1) dose of radiation that involves the teeth
(2) xerostomia
(3) change in dental hygiene
(4) change in oral microbiota
Differential diagnosis: pre-existing dental changes