Implants in the Radiated Jaw - Should We?

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The incidence of head and neck cancer has risen globally in recent decades, primarily due to an increase in oropharyngeal cancer. OMSs can expect to encounter more patients seeking dental rehabilitation after complex reconstructive procedures and head and neck radiation. This session addresses the challenges of dental implant placement in patients treated for head and neck cancer, reviewing the pathophysiology of radiation on the jawbone and summarizing current literature on implant placement in radiated patients. Case presentations will focus on pre-implant assessment, bone augmentation techniques and surgical management, highlighting successful outcomes and lessons learned from challenging cases.

Learning Objectives

At the conclusion of this program, participants should be able to:

  1. Describe the pathophysiology of radiation on the jaw bone and osteoradionecrosis.
  2. Counsel patients regarding the risks, benefits, and expected outcomes of dental implant placement in the radiated jaw. 
  3. Perform safe dental implant placement and manage complications in head and neck cancer patients. 


Donita Dyalram, DDS, MD, FACS
Associate Professor
University of Maryland
Baltimore, Maryland
Disclosure(s): Stryker CMF: Speaker's Bureau (Ongoing)

Lauren M. Bolding, DDS, MS
Maxillofacial Prosthodontist
Dental and TMJ Specialists of Greater DC
Bethesda, Maryland
Disclosure(s): No financial relationships to disclose

Cameron C. Lee, DMD, MD
Assistant Professor, Oral and Maxillofacial Surgery
University of Maryland Medical Center
Baltimore, Maryland
Disclosure(s): No financial relationships to disclose


An Internet-based CDE/CME Activity
Original Release Date: September 15, 2025
Expiration Date: September 15, 2028
Estimated time to complete this educational activity: 1 hour
Method of participation: Self-Study

Donita Dyalram, DDS, MD, FACS

Associate Professor

University of Maryland

Dr. Dyalram is an Associate Professor in the Department of Oral and Maxillofacial Surgery at the University of Maryland Medical Center. She attended New York University College of Arts and Science for her undergraduate degree. She then obtained her Dental Degree from New York University College of Dentistry and her Medical Degree from SUNY Downstate Medical Center. At the completion of Oral Maxillofacial Surgical Residency training at SUNY Downstate Medical Center/ Kings County Hospital Center in NYC and then completed fellowship training in Head and Neck Oncology and Microvascular Reconstruction at the University of Maryland Medical Center. Following these two years of fellowship training she accepted an academic positing at the University of Maryland Medical Center, Department of Oral Maxillofacial Surgery.


Dr. Dyalram had been awarded the prestigious Faculty Educator Development Award by the Oral Maxillofacial Surgery Foundation. She served as the program director at University of Maryland for several years. This echoes her commitment as an educator to student, resident and fellows. Dr. Dylaram is board certified by the American Board of Oral & Maxillofacial Surgery and is an Oral Boards Examiner. She is a past President of Maryland Society of OMFS, and Member of the board of AACMFS and ACOMS. 


Dr. Dyalram maintains a clinical interest in tumors of the jaw, benign and malignant; squamous cell carcinoma of the head and neck, salivary gland tumors, osteoradionecrosis and medication related osteonecrosis of the jaw, and head and neck reconstruction.

Disclosure(s): Stryker: CMF: Speaker's Bureau (Ongoing)

Lauren M. Bolding, DDS, MS

Maxillofacial Prosthodontist

Dental and TMJ Specialists of Greater DC

Dr. Bolding earned her DDS from NYU College of Dentistry. She went on to obtain advanced education in Prosthodontics and a MS degree from the Prosthodontic Residency Program at the University of Maryland. She also completed a Maxillofacial Prosthetics and Dental Oncology Fellowship program at Memorial Sloan-Kettering Cancer Center in New York and became a Diplomate of the American Board of Prosthodontics in 2012. She later obtained a MS degree in Orofacial Pain and Oral Medicine from the University of Southern California.

Dr. Bolding specializes in the restoration of oral and facial structures lost to cancer, trauma and birth defects, working closely with head and neck surgeons. She works often with patients having undergone surgery and/or radiation therapy and chemotherapy for oral and head/neck cancer. She also treats a wide variety of patients with orofacial pain disorders and/or temporomandibular joint disorders. Additionally, she treats patients with complex prosthodontic and esthetics needs.


Dr. Bolding is a past President of the American College of Prosthodontists (ACP) – Maryland Chapter. Prior to that, she served as Treasurer for the same chapter. She most recently has served as Program Chair for the American Academy of Fixed Prosthodontics annual conference in 2024. Dr Bolding is also a board member for the Foundation for Facial Recovery, which educates healthcare providers, patients and the public about effective treatments for facial palsy and TMD disorders.

Disclosure(s): No financial relationships to disclose

Cameron C. Lee, DMD, MD

Assistant Professor

University of Maryland Medical Center

Dr. Cameron Lee is a board certified oral and maxillofacial surgeon whose practice focuses on patients with head and neck pathology. He has clinical expertise managing benign and malignant head and neck lesions with a specific interest in cancers of the oral cavity, oropharynx, skin, and salivary glands. He also has extensive experience in head and neck reconstructive surgery, trigeminal nerve repair, and maxillofacial trauma.

Dr. Lee earned his dental degree with honors from the Harvard School of Dental Medicine. He went on to receive his medical degree from Harvard Medical School and completed a residency in Oral and Maxillofacial Surgery at Massachusetts General Hospital. Dr. Lee subsequently pursued fellowship training in Head and Neck Oncology and Microvascular Reconstructive Surgery at the University of Maryland Greenebaum Comprehensive Cancer Center. During his training, Dr. Lee was the recipient of numerous teaching and research awards, including the Dr. David Stanton Award which is given to a single trainee in the country for outstanding scientific contributions to the Journal of Oral and Maxillofacial Surgery.

Dr. Lee is currently Assistant Professor and Associate Program Director in the Department of Oral and Maxillofacial Surgery where he is responsible for training and mentoring students, residents, and fellows. His research focuses on clinical outcomes and healthcare delivery in oral and maxillofacial surgery.

Disclosure(s): No financial relationships to disclose

Continuing Education Provider Approval
The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education.

ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

The American Association of Oral and Maxillofacial Surgeons designates this activity for 1.0 continuing education credit(s).

AGD - Accepted Program Provider
FAGD/MAGD Credit
11/1/22-12/31/26
Provider ID# 214680

The American Association of Oral and Maxillofacial Surgeons (AAOMS) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Association of Oral and Maxillofacial Surgeons designates this internet-based enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Key:

Complete
Failed
Available
Locked
Faculty and Planner Disclosure
Pre-Quiz
5 Questions  |  1 attempt  |  0/5 points to pass
5 Questions  |  1 attempt  |  0/5 points to pass
Implants in the Radiated Jaw - Should We?
Open to view video.  |  60 minutes
Open to view video.  |  60 minutes
Post-Quiz
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Evaluation
11 Questions
Certificate
1.00 CDE/CME credit  |  Certificate available
1.00 CDE/CME credit  |  Certificate available