Mandibular dental implant placement immediately after teeth removal in head and neck cancer patients.

Mandibular dental implant placement immediately after teeth removal in head and neck cancer patients.
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DOI:
10.1007/s00520-020-05431-y
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发表时间:
2020-12
期刊:
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
影响因子:
--
通讯作者:
Raghoebar GM
Raghoebar GM
中科院分区:
其他
文献类型:
--
作者:
Alberga JM;Korfage A;Bonnema I;Witjes MJH;Vissink A;Raghoebar GM

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关于头颈部癌症患者的即刻种植体植入知之甚少。我们研究了种植体的生存和功能结果的覆盖义齿制作种植体后立即放置在切除下牙列在烧蚀手术或之前的初级放射治疗(RT)。入选标准为原发性头颈部癌、下颌齿状突和剩余牙齿拔除指征。两个种植体,以支持下颌覆盖义齿被放置后,立即拔牙在烧蚀手术,或开始初步放疗。进行了标准化问卷调查和临床评估(中位随访18.5个月,IQR 13.3)。在29名患者中植入了58个种植体。4个种植体丢失(种植体存活率93.1%)。9例患者无法制作功能性覆盖义齿。所有患者均对义齿满意。在头颈部肿瘤治疗之前,将牙种植体放置与去除剩余牙齿相结合,可以获得良好的治疗结果。本文的在线版本(10.1007/s 00520 -020-05431-y)包含补充材料,可供授权用户使用。
Little is known about immediate implant placement in head and neck cancer patients. We studied implant survival and functional outcomes of overdentures fabricated on implants placed immediately after removal of the lower dentition during ablative surgery or preceding primary radiotherapy (RT). Inclusion criteria were primary head and neck cancer, dentate lower jaw, and indication for removal of remaining teeth. Two implants to support a mandibular overdenture were placed immediately after extraction of the dentition during ablative surgery, or prior to starting primary radiotherapy. Standardized questionnaires and clinical assessments were conducted (median follow-up 18.5 months, IQR 13.3). Fifty-eight implants were placed in 29 patients. Four implants were lost (implant survival rate 93.1%). In 9 patients, no functional overdenture could be made. All patients were satisfied with their dentures. Combining dental implant placement with removal of remaining teeth preceding head neck oncology treatment results in a favorable treatment outcome. The online version of this article (10.1007/s00520-020-05431-y) contains supplementary material, which is available to authorized users.
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