Oral rehabilitation with osseointegrated implants in oncologic patients. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [J Oral Maxillofac Surg] Journal article | | Title | Oral rehabilitation with osseointegrated implants in oncologic patients. | | Author(s) | Cuesta-Gil M, Ochandiano Caicoya S, Riba-García F, Duarte Ruiz B, Navarro Cuéllar C, Navarro Vila C | | Institution | Oral and Maxillofacial Department, Ciudad Real General, Ciudad Real, Spain. | | Source | J Oral Maxillofac Surg 2009 Nov; 67(11):2485-96. | | MeSH | Adolescent
Adult
Aged
Ameloblastoma
Bone Transplantation
Carcinoma, Adenoid Cystic
Carcinoma, Squamous Cell
Dental Implantation, Endosseous
Dental Implants
Dental Prosthesis Design
Dental Prosthesis, Implant-Supported
Dental Restoration Failure
Female
Follow-Up Studies
Head and Neck Neoplasms
Humans
Male
Mandibular Neoplasms
Maxillary Neoplasms
Microsurgery
Middle Aged
Mouth Neoplasms
Oral Surgical Procedures
Osseointegration
Prostheses and Implants
Reconstructive Surgical Procedures
Surgical Flaps
Treatment Outcome
Young Adult
| | Abstract | PURPOSE: The esthetic and functional rehabilitation of oncologic patients subjected to major resection surgery constitutes one of the greatest challenges for the head and neck surgeon. Immediate bone reconstruction with microsurgical free tissue transfer and dental implants has constituted a genuine revolution in the management of such patients.
MATERIALS AND METHODS: We present a series of 111 oncologic patients, involving a total of 706 implants, who underwent reconstruction with pedicled or free microsurgical flaps.
RESULTS: The osseointegration success rate was 92.9%, with a global failure rate (malpositioning or failed osseointegration or loading) of 15%. Failure particularly affected the group of irradiated patients and those subjected to lateral osseomyocutaneous trapezial pedicled flap reconstruction. Excellent results were obtained with the fibular and iliac crest free flaps and osseointegrated dental implants.
CONCLUSIONS: The difficulties of prosthetic rehabilitation are discussed, along with the individualized solutions applied, the repercussions on the temporomandibular joint, and the management protocol adopted by our service. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19837322 |
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