[en] For the purpose of preventing osteonecrosis following interstitial irradiation for tongue cancer, a Radiolucent Spacer was prepared with the intention of reducing bone dose by keeping the mandible at a distance from the source. Because of its radiolucency, the Spacer made of silicone enables to perform X-P while inserted, and more exact dose calculation. For 6 cases in which 8 mm-spacer was used, dose reduction rate for surface of lower gingiva corresponded to 42.3%, average of tumor dose for TDF. For 51 cases in which the observation of course was practicable for 2 years∼9 years and 4 months, averaging 5 years and 7 months, the incidence of osteonecrosis was 0%, and therefore, Spacer of not less than 8 mm-thickness is thought useful as prosthesis. Extraction of the tooth was done at the start of irradiation, but the healing course was always favorable. The most aseptic possible alveolectomy and complete closure of the wound are necessary for tooth extraction. (author)