Overdentures on primary mandibular implants in patients with oral cancer: a follow-up study over 14 years
Overdentures on primary mandibular implants in patients with oral cancer: a follow-up study over 14 years
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DOI：
10.1016/j.bjoms.2014.05.013
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发表时间：
2014-11-01
影响因子：
1.8
通讯作者：
Reintsema, Harry
中科院分区：
文献类型：
--
作者：
Korfage, Anke;Raghoebar, Gerry M.;Reintsema, Harry
我们的目的是评估口腔功能，患者的满意度，笔种植体组织的条件，和种植体的生存长达14年后，他们在口腔癌患者的下颌覆盖义齿放置在初级种植体。在164/180例口腔癌患者的肿瘤切除术中，将骨内牙种植体前瞻性地插入下颌骨的椎间孔区域。在2012年的最终评估中，通过问卷调查和临床评估对所有58例患者进行了评估。种植体固位下颌覆盖义齿被插入，修复和口腔功能与肿瘤的原发部位或阶段，插入的种植体的数量或类型，或重建的类型无关。随着时间的推移，笔植入体粘膜通常没有炎症。接受放射治疗的患者（27/318，8.5%）的种植体丢失率高于未接受放射治疗的患者（1/206，0.5%）。接受过放射治疗的患者报告说，与未接受放射治疗的患者相比，他们的口腔功能出现更多问题，满意度更低。种植体保留下颌覆盖义齿的患者报告较少的问题，在口腔功能比患者没有overdentist.Primary插入种植体应定期纳入口腔癌患者的手术计划，口腔功能在那些戴下颌覆盖义齿大大改善和笔种植体健康至少是合理的。(C)2014年英国口腔颌面外科医师协会。由爱思唯尔有限公司出版。保留所有权利。
We aimed to assess oral functioning, patients' satisfaction, condition of pen-implant tissues, and survival of implants up to 14 years after their insertion in patients with oral cancer who had had mandibular overdentures placed over primary implants. Endosseous dental implants were inserted prospectively in the interforaminal region of the mandible during resection of the tumour in 164/180 patients with oral cancer. All 58 patients were evaluated by questionnaires and clinical assessments during a final assessment in 2012. Implant-retained mandibular overdentures were inserted, and prosthetic rehabilitation and oral functioning were not associated with primary site or stage of the tumour, number or type of implants inserted, or the type of reconstruction. Over time the pen-implant mucosa was usually free of inflammation. More implants were lost in patients treated by radiotherapy (27/318, 8.5%) than in those not so treated (1/206, 0.5%). Patients who had been treated by irradiation reported more problems in oral functioning and less satisfaction than those who had not. Patients with an implant-retained mandibular overdenture reported fewer problems in oral functioning than patients without an overdenture.Primary insertion of an implant should be routinely incorporated in the surgical planning for patients with oral cancer, as oral functioning in those wearing mandibular overdentures improved considerably and pen-implant health was at least reasonable. (C) 2014 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.