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Article: Volume 49 Number 6 Page 491 - June 2022

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  Dental Update 501: 491-493

Oral and Maxillofacial Surgery:  Dental Implications of Transoral Robotic Surgery (TORS) in the Management of Head and Neck Cancer

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Abstract: Transoral robotic surgery (TORS) is increasingly being used in the UK as an alternative to other treatment modalities for the management of head and neck cancer. This article describes key features of the robotic system, and discusses risks of peri-operative dental complications that can arise as a result of introducing large robotic instruments into the confined space of the oral cavity. It also explores potential solutions and the role of dentists in reducing the risks of inadvertent hard and soft tissue injuries occurring during the procedure.

Clinical relevance: A basic understanding of current surgical treatment modalities and their dental implications is important for GDPs.

Author notes: Shir Lynn Tan, BDS, BSc (Hons), MFDS RCPS (Glasg), DCT2 Oral and Maxillofacial Surgery, James Cook University Hospital, South Tees Hospitals NHS Foundation Trust. Laura Warner, MBChB, FRCS (ENT), Consultant Otolaryngologist, Head and Neck Surgeon, Newcastle upon Tyne Hospitals NHS Foundation Trust. Jenna Trainor, BDS, MFDS, MClinDent (Rest Dent), FDS RCPS (Glasg), Consultant in Restorative Dentistry, Newcastle upon Tyne Hospitals NHS Foundation Trust. email:

Objective: The reader should gain an understanding of current surgical treatment modalities and their dental implications.

S4S Dental_June22