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. 2022 Dec 22;149(2):151–159. doi: 10.1001/jamaoto.2022.4165

Table 2. Summary of Clinical Data and ORN Characteristics Following PRT.

Patient No. ORN Calculated radiation dose to ORN site, GyRBE Etiology Time to ORN, mo Management of ORN Follow-up, mo Outcome at last follow-up
Laterality Location Clinical presentation Grade at initial diagnosis Mean Maximum
1 I/L Maxillary anterior Avulsed tooth 1 76.5 81.2 Spontaneous 41 CHX 36 Complete resolution
2 I/L Mandibular posterior Pain, EBA (3 × 1 cm) 2 60.9 66.2 Spontaneous 2 CHX, ABX 25 Progression
3 I/L Mandibular posterior Pain, purulent discharge EBA (1 × 1 cm) 2 57.1 69.3 Spontaneous 42 CHX, ABX, PENT-E 32 Progression
4 I/L Mandibular ramus Asymptomatic 0 68.1 69.4 Spontaneous 24 CHX 31 Stable
5 I/L Mandibular posterior Pain, purulent discharge 2 57.6 66.2 Spontaneous 7 CHX, ABX 42 Progression
6 C/L Maxillary posterior Draining fistula 3 73.9 79.0 Spontaneous 35 CHX, ABX, surgical resection + graft 35 Complete resolution
7 I/L Mandibular posterior Pain, tooth mobility, EBA (1.5 × 1 cm) 2 52.5 72.9 Spontaneous 6 CHX, ABX, debridement, PENT-E 35 Complete resolution
8 I/L Mandibular posterior Pain, EBA (2 × 2 cm) 2 45.1 73.6 Spontaneous 6 CHX, ABX, PENT-E, HBOT 58 Progression
9 I/L Mandibular posterior EBA (0.8 × 1 cm) 1 57.1 71.3 Spontaneous 40 CHX, PENT-E 36 Stable
10 I/L Mandibular posterior Pain, swelling, purulent discharge 2 62.7 69.8 Spontaneous 45 CHX, ABX, PENT-E 0 Stable
11 I/L Mandibular posterior Swelling 2 64.8 68.5 Spontaneous 17 CHX, ABX, PENT-E 16 Stable
12 I/L Maxillary posterior 3 EBAs (0.3 × 0.3 cm, 0.2 × 0.3 cm, 0.1 × 0.5 cm) 1 45.5 61.8 Spontaneous 83 CHX, PENT-E 11 Stable
13 I/L Mandibular posterior Pain, tooth mobility 2 66.6 69.1 Spontaneous 74 CHX, ABX 7 Stable

Abbreviations: ABX, antibiotics; CHX, chlorhexidine; C/L, contralateral; EBA, exposed bone area; GyRBE, gray relative biological effectiveness; HBOT, hyperbaric oxygen therapy; I/L, ipsilateral; ORN, osteoradionecrosis; PENT-E, pentoxifylline–vitamin E.