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A Head & Neck Cancer Patient Finds a Solution Just-in-Time

A Head & Neck Cancer Patient Finds a Solution Just-in-Time

Days before Labor Day weekend, Kallisio received an unexpected email from head and neck cancer patient Gia S.

Facing an aggressive diagnosis and learning more about the potential side effects of radiation, Gia did what many patients do: searched for answers. Her goal was simple but critical, protect her teeth and oral health during treatment. That search led her to Kallisio’s stentra™ system, so she reached out directly.

“I had even rescheduled my CT simulation so my dentist could upload a scan,” Gia shared. “But I didn’t realize stentra needed to be prescribed through my treating physician.”

With the clock ticking, Kallisio CEO Rajan Patel stepped in personally, offering to connect directly with Gia’s care team to determine whether stentra could be integrated without delaying treatment.

72 Hours. A Holiday Weekend. Zero Margin for Delay.

Gia’s radiation oncologist was understandably concerned about timing. Her cancer was aggressive, and treatment could not wait.

What once would have been impossible was made achievable through automation, validated workflows, and advanced 3D printing: an FDA-cleared, patient-specific oral immobilization device engineered, verified, manufactured, and delivered in just 72 hours.

Despite the approaching holiday weekend, collaboration moved swiftly. Gia’s physician agreed to incorporate stentra into the treatment plan, and her dentist expedited the intraoral optical scan.

“A special thank you to Dr. H. for facilitating the imaging process and getting everything over to Kallisio so quickly.”

Once the files were securely uploaded to Kallisio, stentra was custom 3D printed to precisely match Gia’s anatomy and position her tongue safely out of the radiation field. Three days later, the device arrived, ready for CT simulation.

From First Use to First Success

“I’m back home and happy to share that the stent placement went wonderfully during my CT simulation,” Gia reported. “Thank you to Dr. M. for being willing to incorporate this new appliance into my therapy plan. I feel honored to be your first patient using it, and hope many more will follow.”

The Follow-Up That Matters Most

As treatment progressed, Gia checked back in with encouraging news.

“The staff is surprised by how many oral issues I don’t have.”

Stentra fit comfortably, with no reported tooth pain, gum irritation, or oral thrush during treatment. Gia also provided thoughtful patient feedback, suggesting additional support for dry mouth during device insertion to further enhance the experience.

“Thank you to Rajan at Kallisio for your dedicated expertise, your urgency, and for keeping your promise of a 72-hour turnaround,” Gia wrote. “I’m deeply grateful to everyone who collaborated to make this happen, and I truly hope many more patients benefit from this device.”

We continue to keep Gia in our thoughts and wish her strength and healing as she completes treatment and recovery.

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Radiation Oncologist Details

Stentra™ is FDA cleared and prescribed (Rx) by the Radiation Oncologist. To build a Stentra device, we need to know how the Radiation Oncologist wants to position the patient's tongue. We also need the patient's target simulation date to ship Stentra™ in time for planning. Once we have the information outlined in this form and the required oral optical scans, the Stentra™ device can be delivered in as little as 72 hours. Please review the Stentra™ types below and fill out the following information:

Stentra™ types

If you are not the patient's Radiation Oncologist but are placing this order on their behalf, we need your information as well.

Radiation Oncologist Details

Stentra™ is FDA cleared and prescribed (Rx) by the Radiation Oncologist. To build a Stentra device, we need to get the order and prescription from the patient's radiation oncology team. We also need the patient's target simulation date to ship Stentra™ in time for planning. Once we have the required oral optical scans, the Stentra™ device can be delivered in as little as 72 hours. Please provide the following information:

Case approval

Providing Additional Information

If you would like, you can download and print out our brochure found on our patient page under « talk to your doctor ». Please bring this brochure to your Radiation Oncologist and ask them to look into whether this is a good option for your case.

Your dental practice

Your Radiation Oncologist

Your dental practice or provider equipped with an intraoral optical scanner

What happens next

Thank you for submitting the order request. When this form is submitted, if you provided an email to us, we will dispatch an onboarding invite to the radiation oncology clinic via email requesting that they register their practice and authorize the order for your patient. If no email was provided, please call the patient's radiation clinic to get them onboard and fill out an order form through our website.

What happens next:

  1. Review instructions. Detailed scan protocols and submission instructions will be emailed to the addresses associated with your dental clinic listed in your request.
  2. Continue with the scan. If all dental work has been done and the patient is cleared to start radiation therapy, continue with the scan following the instructions sent to you.
  3. Oncology setup. Once the radiation oncology team completes their setup, authorizes and confirms the order, we can start fabricating the device.

Thank you for your partnership in getting this patient ready for treatment.

Billing Information

Reimbursement information — for reference only. This is not billing advice and does not guarantee coverage or payment. Providers are responsible for code selection, documentation, and claim accuracy.

CPT® 77334 (Treatment devices, design and construction; complex) covers complex radiation therapy devices designed and fabricated for an individual patient. Physician involvement in device selection, design, and placement should be documented.

Stentra™ is an FDA 510(k) cleared (K232293), patient-specific intraoral positioning device. Providers may consider CPT 77334 for its design and construction, subject to their own coding review.

Delivery method: the code is not limited to one technique and may apply across IMRT, 3D-CRT, and other external beam approaches.

Multiple devices: when a thermoplastic mask and Stentra™ each serve a distinct, documented purpose, each may be separately reportable, subject to NCCI edits, MUE limits, and payer policy.

Questions: contact Kallisio at care@kallisio.com. For coding decisions, consult your coding and compliance team.

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