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- • Cancer of the space around the teeth usually requires the removal of some of the teeth as well as the primary
- cancer site in the gingiva (gums). The dental prosthodontist creates a specialized plate for complete
- rehabilitation .
- • Occasionally, when the cancer involves the upper gums it may be necessary to remove a portion of the sinus.
- The prosthodontist is again needed for reconstruction.
- • For larger cancers that have a lower cure rate with surgery alone, treatment combines all three methods
- chemotherapy , followed by surgery, followed by radiation therapy .
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- Treatment by Location and Stage
- Stage I
- Standard Treatment
- • Lip: Surgery or radiotherapy , depending on cosmetic and functional results.
- • Front of tongue: Wide local excision . For larger lesions, either surgery or radiotherapy.
- • Inside of cheek: Surgery for small lesions (with skin graft, if needed) or radiotherapy for larger lesions.
- • Floor of mouth: Surgery or radiotherapy.
- • Lower gums: Surgery, possibly with removal of some bone and the use of a skin graft. Radiotherapy results
- are usually not as good as surgery.
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