How do you manage dental extractions in a patient getting reirradiation to the mandibular area?

Taking into account the poor prognosis of re-irradiated HNC (for example, Ward MC et al, Oral oncology 2019, reported in a recent 9-institution study of more than 500 patients, cancer progression or death in 64% after re-irradiation), teeth/mandibular damage risk is a moot issue. If cancer is eradic...

I agree with @Dr. First Last. What do you think the long term survival of your patient is? If you truly believe you can cure this patient with re-RT, I would push for dental extractions pre-RT, especially if the prior mandible dose <60Gy and you have an experienced oral surgeon involved in the case....