HUBUNGAN RADIOTERAPI KEPALA LEHER TERHADAP KEJADIAN KARIES GIGI DILIHAT MELALUI FOTO PANORAMIK

Abstract

Background: Head neck cancer in Indonesia is quite high, which ranks fourth of all malignancies. Radiotherapy is still one of the most important treatment option for patients with head and neck cancer. In addition to tumor cells, ionizing radiation also affect healthy tissue around the target, resulting in serious side effects. Dental caries is not the main effect of radiotherapy, but evolved as a secondary condition. Dental caries in irradiated patients can be developed rapidly since 3 months after radiotherapy. To detect dental caries require radiographic evaluation with high accuracy. Panoramic radiographs have been used widely as a means of detection and screening in the case of dental pathology. Objective: Determine the incidence of dental caries through panoramic photos in patients who had completed radiotherapy neck head for at least 3 months at the Dr. Kariadi Hospital Semarang. Methods: This study was cross-sectional observational assess x panoramic picture head neck cancer patients who had completed radiotherapy. Subjects were patients who had completed radiotherapy for at least 3 months at the Dr. Kariadi Hospital Semarang (n = 20). Subjects of research done taking panoramic photos, and then the result are read by two expert radiologists in the department Dr. Kariadi Hospital Semarang. Results: The results of chi-square test showed a significant relationship between the head neck radiotherapy relation to the incidence of dental caries seen through panoramic photo (p <0.05). Conclusion: There were significant results that the head neck radiotherapy relation to the incidence of dental caries seen through a panoramic photo. Keywords: head neck radiotherapy, dental caries, panoramic photo.