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Emergency Medicine1 paper

Primary malignant odontogenic tumor of upper jaw

Last edited: 4/10/2026

Overview

Primary malignant odontogenic tumors (MOTs) are rare neoplasms originating from odontogenic epithelium. These tumors can arise centrally within the jawbone or peripherally from the gingiva.

Diagnosis

No information on diagnosis is available in the provided abstracts.

Management

No information on management is available in the provided abstracts.

Special Populations

No information on special populations is available in the provided abstracts.

Key Recommendations

  • Prophylactic extraction of teeth is recommended when the radiation dose to the jaw is at or above 70 Gy in the maxilla and 60 Gy in the mandible to prevent osteoradionecrosis (ORN) 1.
  • Treatment pathways for maxillary and mandibular anterior/premolar and molar teeth receiving a dose at or above the threshold for prophylactic extraction were developed 1.
  • Periodontally involved teeth and mandibular molars were most frequently recommended for extraction prior to radiation therapy 1.
  • Only symptomatic third molars were recommended for extraction when adequate healing time was available prior to the commencement of radiation therapy 1.
  • References

    1 Watson E, Dorna Mojdami Z, Oladega A, Hope A, Glogauer M. Clinical practice guidelines for dental management prior to radiation for head and neck cancer. Oral oncology 2021. link

    Original source

    1. [1]
      Clinical practice guidelines for dental management prior to radiation for head and neck cancer.Watson E, Dorna Mojdami Z, Oladega A, Hope A, Glogauer M Oral oncology (2021)

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