The benefits of semi-direct technique and bioactive materials for dental restorative treatment of irradiated oral oncology patient

Patients who undergo radiotherapy for head-and-neck cancer usually present oral complications that impair their quality of life. This clinical case presents the advantage of using a semi-direct technique with bioactive materials to restore compromised posterior teeth by dental professionals who participate as members of the oncology network support team to provide long-lasting treatment in a shorter time. Post-radiotherapy patients presented several oral challenges, including the presence of radiation-induced caries. In addition, the left maxillary second premolar showed unsatisfactory class II restoration. For radiation caries lesions, glass-ionomer cement restorations were performed. For the unsatisfactory class II restorations, semi-direct technique using resin composite was used. Glass ionomer-based restorations offer appropriate marginal adaptation and reduced sensitivity. For the semi-direct restorations, adequate anatomical contour, contact point, and occlusal contact were achieved using relevant clinical parameters. For patients who have had head-and-neck radiotherapy, restoration of affected teeth is relevant for improving their dental function to avoid malnutrition and to recover their quality of life, including esthetics and self-esteem. This semi-direct procedure reduced chairside time, which is beneficial also for the professionals. Using bioactive materials and person-centered care concept, technical and long-term benefits can be achieved.