Can over the counter mouth guards be used to reduce back scatter from dental fillings during head and neck radiation?
Custom devices with dentistry can be cost-prohibitive.
Answer from: Radiation Oncologist at Community Practice
I have been using them for years for my H&N patients with success, in any patient with a metal capped tooth. I have never had a tongue or buccal mucosa ulcer when using them, except in a couple of cases where the fit was poor and I did not recognize this. Custom ones are expensive an...
Answer from: Radiation Oncologist at Community Practice
We have been using a wax bolus for 28 years that we custom fit over any teeth with metallic fillings when these teeth will be encompassed within the radiation field.
The bolus absorbs the secondary scatter off the metal and has significantly reduced the incidence of tongue and buc...
Answer from: Radiation Oncologist at Academic Institution
I don’t routinely use mouth guards. We are currently doing a study to see whether mouth guards made a difference to our patients. For mouth guards to function properly in context of H&N radiation, they have to be made correctly but in reality most are not made correctly.
I use bit...