120 Chapter 5 Conclusion This study represents insights in how to de-escalate damage to the masticatory system before RT without neglecting the risk of developing ORN. Especially in patients undergoing RT for cancer of the larynx, the hypopharynx or the ‘parotid region’, guidelines have been given to support decision making during comprehensive dental assessment. To prevent redundant tooth loss and functional damage close cooperation between all specialists involved in head and neck cancer therapy is of great importance. Guidelines must be adapted where appropriate.
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