Evidence map›Paper›PMID 29071801›Full record

ReviewCancer medicine2017

Common oral complications of head and neck cancer radiation therapy: mucositis, infections, saliva change, fibrosis, sensory dysfunctions, dental caries, periodontal disease, and osteoradionecrosis.

Herve Y Sroussi, Joel B Epstein, Rene-Jean Bensadoun, Deborah P Saunders, Rajesh V Lalla, Cesar A Migliorati, Natalie Heaivilin, Zachary S Zumsteg

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Cancer medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 329 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
329citing papers in PubMed, 5 pooled it
29.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05018754 completednot on this map

Treatment of Oral Mucositis Using Platelet Rich Fibrin: a Retrospective Study in Oncological Patients.

TypeobservationalSponsorUniversity of Rome Tor VergataRan2017 to 2021Enrolled15ConditionsGraft Vs Host Disease, Oral Mucositis (Ulcerative), Mesenchymal Stem CellsArmsTREATMENT OF ORAL MUCOSITIS USING PLATELET-RICH-FIBRIN (PRF)
NCT06662929 recruitingnot on this mapstarted 2023, after this paper: background citation

Arabic Patient-reported Outcome Measures During Radiotherapy for Head and Neck Cancer: a Validation Study

Typeobservational_patient_registrySponsorKing Saud UniversityRan2023 to 2025Enrolled125ConditionsHead and Neck Cancer, Head and Neck Neoplasms, Head and Neck Squamous Cell Carcinoma, Oropharynx CancerArmsRadiation
NCT07387978 narecruitingnot on this mapstarted 2025, after this paper: background citation

A Pilot Study to Describe the Effect of Photobiomodulation in Reducing the Severity and Incidence of Oral Mucositis in Oral Cancer Patients Undergoing Radiation Treatment

TypeinterventionalSponsorPeter MacCallum Cancer Centre, AustraliaRan2025 to 2028Enrolled30ConditionsOral MucositisArmsphotobiomodulation
3 · Its place in the literature

Who cites it

329 citing papers in PubMed, 5 syntheses or guidelines pooled it, 738 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Oral microbiota in head and neck cancer patients during radiotherapy: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  5. Efficacy of different pharmaceutical forms ofFrontiers in pharmacology · 2025
    Pooled it
  6. Trial
  7. Preventive effects of dexamethasone oral solution on radiation-induced mucositis in patients with head and neck cancer: a randomized, triple-blind, parallel-group trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  8. Intraoral vs. extraoral photobiomodulation therapy for oral mucositis in head and neck cancer patients: a multicenter, randomized, single-blind clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  9. Effectiveness of advanced platelet-rich fibrin on post-exodontia socket healing in patients who had undergone head and neck radiation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  10. Trial
  11. Trial
  12. Sodium-hyaluronate mouthwash on radiotherapy-induced xerostomia: a randomised clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  13. Trial
  14. Trial
  15. Trial
  16. Article
  17. Review
  18. Integration of geriatric nutritional risk index and sarcopenia for prognostic assessment in nasopharyngeal carcinoma receiving concurrent chemoradiotherapy: a large-scale long-term retrospective study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  19. Review
  20. Article

269 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 3 countries.

Herve Y SroussiDivision of Oral Medicine & Dentistry, Brigham and Women's Hospital, Boston, MA.ORCID http://orcid.org/0000-0003-3447-299X
Joel B EpsteinSamuel Oschin Comprehensive Cancer Instititue, Cedars-Sinai Medical Center, Los Angeles, CA.
Rene-Jean BensadounCentre de Haute Energie, 10, Bd Pasteur, 06000, Nice, France.
Deborah P SaundersDepartment of Dental Oncology, Health Sciences North, Northeastern Cancer Centre, Sudbury, Ontario, Canada.
Rajesh V LallaSection of Oral Medicine, University of Connecticut Health, Farmington, Connecticut.
Cesar A MiglioratiDepartment of Oral and Maxillofacial Diagnostic Sciences, University of Florida, Gainesville, Florida.
Natalie HeaivilinOral Maxillofacial Surgery Department, University of California, San Francisco, California.
Zachary S ZumstegDepartment of Radiation Oncology, Cedars-Sinai Medical Center, Los Angeles, California, 90048.ORCID http://orcid.org/0000-0001-7484-3631
Cedars-Sinai Medical Center · USBrigham and Women's Hospital · USCentre de Haute Energie · FRHealth Sciences North · CAUConn Health · USUniversity of California, San Francisco · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients undergoing radiation therapy for the head and neck are susceptible to a significant and often abrupt deterioration in their oral health. The oral morbidities of radiation therapy include but are not limited to an increased susceptibility to dental caries and periodontal disease. They also include profound and often permanent functional and sensory changes involving the oral soft tissue. These changes range from oral mucositis experienced during and soon after treatment, mucosal opportunistic infections, neurosensory disorders, and tissue fibrosis. Many of the oral soft tissue changes following radiation therapy are difficult challenges to the patients and their caregivers and require life-long strategies to alleviate their deleterious effect on basic life functions and on the quality of life. We discuss the presentation, prognosis, and management strategies of the dental structure and oral soft tissue morbidities resulting from the administration of therapeutic radiation in head and neck patient. A case for a collaborative and integrated multidisciplinary approach to the management of these patients is made, with specific recommendation to include knowledgeable and experienced oral health care professionals in the treatment team.

Indexed as

Communicable DiseasesDental CariesFibrosisHead and Neck NeoplasmsHumansOsteoradionecrosisPeriodontal DiseasesRadiotherapyRisk FactorsSalivationSensation DisordersStomatitisTreatment OutcomeFibrosishead and neck cancerneurosensory disorderoral candidiasisoral healthoral mucositisradiation therapy

Identifiers

PMID29071801
PMCPMC5727249
OpenAlexW2765631041

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.