Vudiniabola, A.Pirone, C.Williamson, J.Goss, Alastair Norman2007-02-242007-02-241999Australian Dental Journal, 1999; 44(4):243-2470045-0421http://hdl.handle.net/2440/3887The document attached has been archived with permission from the Australian Dental Association (23rd Jan 2008). An external link to the publisher’s copy is included.Patients who have had their jaws irradiated as part of management of head and neck malignancy are at risk of osteoradionecrosis (ORN) following tooth extraction. Thirty-seven patients with a history of irradiation to the jaws were managed during a four year period. Twenty-nine patients received hyperbaric oxygen therapy (HBO) consisting of 20 treatments after. Only one (4 per cent) developed ORN. Seven patients who did not have HBO and one who did (15 per cent) developed ORN. The need for prophylactic treatment with HBO is discussed. It is recommended that prophylactic HBO is used prior to surgery for irradiated facial bone.enOsteoradionecrosis; hyperbaric oxygen; surgeryJournal article10.1111/j.1834-7819.1999.tb00227.x