Hyperdensity of the lingual-basal bone cortex incresead after radiotherapy in the head and neck region: case report
DOI:
https://doi.org/10.5335/rfo.v25i3.11226Keywords:
Squamous cell carcinoma, Tomography, Dental implant, Oral medicineAbstract
Objective: to report a case of increased hyperdensity of the lingual-basal bone cortex after radiotherapy
in the head and neck region by means of imaging evaluation. Case report: female patient, 80 years old, sought dental treatment for the purpose of oral rehabilitation with dental implants. In the anamnesis, she reported a history of squamous cell carcinoma in different regions of the oral cavity. Upon clinical examination, it was noted that the patient was total edentulous and a cone beam computed tomography examination was requested.An increase in the hyperdensity of the lingualbasal bone cortex was observed in the lower anterior region, with thicker compact bone, an unusual finding in the literature after radiotherapy. Final considerations: the effects of radiotherapy on the mandible are reported in the literature. In the clinical case in question, a little-noticed change was detected in patients undergoing radiotherapy, leading to new questions, concerning the diagnosis of this change in bone structure and its repercussions.
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