These are conducted by an Endocrinologist, who along with being the definitive diognostician of the pituitary tumor, is paramount in determining and monitoring the level of recovery post-treatment of the tumor itself. The more positive aspects of pituitary adenomas is the prospects of treatment. As with any human malady, the earlier detection leads to more encouraging results. Entering through the nose and continuing through the sphenold sinus, the tumor is removed without breaching the cranial vault. Dental implications of this procedure can be seen as gingival recession on the buccal surfaces of maxillary anterior teeth, with subsequent bone loss in those areas.
Radiation can come in two forms, the first being that of the external beam.
The great majority of forms of radiation used are an attempt to destroy remnants of the adenoma remaining after surgery. Dentally, post-radiation xerostomia can result from a usually temporary reduction of salivary output from whatever glands have been in the path of the radioactive beam. Fungal infections can arise in the forms of angular chelitis and those affecting intaglio surfaces of dentures. Altered taste sensations and reduced ability to smell are also common, again a result of damage from the radiation. Most of these are temporary phenomena, and the subsequent increased caries risk and periodontal involvement can be effectively managed by the dentist with fluoride use, frequent exams and immaculate hygiene.