Head and Neck Surgery, irradiation immediately puts the patient with head and neck cancer at high risk for treatment-related complications including dry mouth (xerostomia), oral infections, Difficulty in mouth opening, (oral muscle fibrosis) and jawbone destruction (osteoradionecrosis), Radiation caries, increase in sensitivity in teeth.

• Pre radiation fluoride treatment – to prevent caries and sensitivity – Application of fluoride varnish twice yearly.
• Oral prophylaxis and polishing – Professional dental cleaning to remove tartar and calculus which can cause periodontal disease.
• Minor oral surgical procedure – removal of the movable tooth, partially erupted third molar. removal of grossly carious teeth, removal of root stamps.
• Prosthetic rehabilitation: – intraoral and extraoral prosthesis, guiding flange (to guide the lower jaw in its original position), obturator (a prosthesis that can be used to close defects or voids in the roof of the mouth.)
• Endodontic therapy – if pain persists root canal treatment is done at least one week before radiation therapy.