How do you approach teeth extractions for head and neck cancer patients getting radiation?

Here is what my oral surgeon, who deals with ORN, told me:

“We do implants in fields of high does radiation. The risk of immediate and long term failure is higher but often the risk/benefit still weighs in favor. I have two patients that have devoleped ORN (one immediate and one late) after implants...

Our experience shows a risk of ORN of ~ 7%. Of course that has to be taken into context of all grades, from conservative management to aggressive surgical management

We our fortunate as a cancer center to have in house dental oncologists who see the patients up front and are involved in the decisi...