Overdentures on primary mandibular implants in patients with oral cancer: a follow-up study over 14 years.
Identifieur interne : 000542 ( Main/Exploration ); précédent : 000541; suivant : 000543Overdentures on primary mandibular implants in patients with oral cancer: a follow-up study over 14 years.
Auteurs : Anke Korfage [Pays-Bas] ; Gerry M. Raghoebar [Pays-Bas] ; James J R Huddleston Slater [Pays-Bas] ; Jan L N. Roodenburg [Pays-Bas] ; Max J H. Witjes [Pays-Bas] ; Arjan Vissink [Pays-Bas] ; Harry Reintsema [Pays-Bas]Source :
- The British journal of oral & maxillofacial surgery [ 1532-1940 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse de survie, Femelle, Humains, Implants dentaires, Indice parodontal, Mandibule (), Mandibule (effets des radiations), Mastication (physiologie), Mâle, Ostéo-intégration (effets des radiations), Ostéo-intégration (physiologie), Overdenture, Prothèse dentaire implanto-portée, Qualité de vie, Radiographie, Radiothérapie adjuvante, Résorption alvéolaire (imagerie diagnostique), Résultat thérapeutique, Rétention d'appareil de prothèse dentaire (instrumentation), Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de la bouche (), Tumeurs de la bouche (radiothérapie), Études de cohortes, Études de suivi, Études prospectives.
- MESH :
- effets des radiations : Mandibule, Ostéo-intégration.
- imagerie diagnostique : Résorption alvéolaire.
- physiologie : Mastication, Ostéo-intégration.
- radiothérapie : Tumeurs de la bouche.
- Adulte, Adulte d'âge moyen, Analyse de survie, Femelle, Humains, Implants dentaires, Indice parodontal, Mandibule, Mâle, Overdenture, Prothèse dentaire implanto-portée, Qualité de vie, Radiographie, Radiothérapie adjuvante, Résultat thérapeutique, Rétention d'appareil de prothèse dentaire, Satisfaction du patient, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de la bouche, Études de cohortes, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Alveolar Bone Loss (diagnostic imaging), Cohort Studies, Dental Implants, Dental Prosthesis, Implant-Supported, Denture Retention (instrumentation), Denture, Overlay, Female, Follow-Up Studies, Humans, Male, Mandible (radiation effects), Mandible (surgery), Mastication (physiology), Middle Aged, Mouth Neoplasms (radiotherapy), Mouth Neoplasms (surgery), Osseointegration (physiology), Osseointegration (radiation effects), Patient Satisfaction, Periodontal Index, Prospective Studies, Quality of Life, Radiography, Radiotherapy, Adjuvant, Survival Analysis, Treatment Outcome.
- MESH :
- chemical : Dental Implants.
- diagnostic imaging : Alveolar Bone Loss.
- instrumentation : Denture Retention.
- physiology : Mastication, Osseointegration.
- radiation effects : Mandible, Osseointegration.
- radiotherapy : Mouth Neoplasms.
- surgery : Mandible, Mouth Neoplasms.
- Adult, Aged, Aged, 80 and over, Cohort Studies, Dental Prosthesis, Implant-Supported, Denture, Overlay, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Satisfaction, Periodontal Index, Prospective Studies, Quality of Life, Radiography, Radiotherapy, Adjuvant, Survival Analysis, Treatment Outcome.
Abstract
We aimed to assess oral functioning, patients' satisfaction, condition of peri-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 peri-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 peri-implant health was at least reasonable.
DOI: 10.1016/j.bjoms.2014.05.013
PubMed: 24951245
Affiliations:
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Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Slater, James J R Huddleston" sort="Slater, James J R Huddleston" uniqKey="Slater J" first="James J R Huddleston" last="Slater">James J R Huddleston Slater</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Roodenburg, Jan L N" sort="Roodenburg, Jan L N" uniqKey="Roodenburg J" first="Jan L N" last="Roodenburg">Jan L N. Roodenburg</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Witjes, Max J H" sort="Witjes, Max J H" uniqKey="Witjes M" first="Max J H" last="Witjes">Max J H. 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Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Reintsema, Harry" sort="Reintsema, Harry" uniqKey="Reintsema H" first="Harry" last="Reintsema">Harry Reintsema</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. 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Box 30.001, 9700 RB Groningen, The Netherlands. Electronic address: a.korfage@umcg.nl.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M" last="Raghoebar">Gerry M. Raghoebar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Slater, James J R Huddleston" sort="Slater, James J R Huddleston" uniqKey="Slater J" first="James J R Huddleston" last="Slater">James J R Huddleston Slater</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Roodenburg, Jan L N" sort="Roodenburg, Jan L N" uniqKey="Roodenburg J" first="Jan L N" last="Roodenburg">Jan L N. Roodenburg</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Witjes, Max J H" sort="Witjes, Max J H" uniqKey="Witjes M" first="Max J H" last="Witjes">Max J H. Witjes</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author><author><name sortKey="Reintsema, Harry" sort="Reintsema, Harry" uniqKey="Reintsema H" first="Harry" last="Reintsema">Harry Reintsema</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University of Groningen and University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen</wicri:regionArea><wicri:noRegion>9700 RB Groningen</wicri:noRegion></affiliation></author></analytic><series><title level="j">The British journal of oral & maxillofacial surgery</title><idno type="eISSN">1532-1940</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Alveolar Bone Loss (diagnostic imaging)</term><term>Cohort Studies</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture Retention (instrumentation)</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Mandible (radiation effects)</term><term>Mandible (surgery)</term><term>Mastication (physiology)</term><term>Middle Aged</term><term>Mouth Neoplasms (radiotherapy)</term><term>Mouth Neoplasms (surgery)</term><term>Osseointegration (physiology)</term><term>Osseointegration (radiation effects)</term><term>Patient Satisfaction</term><term>Periodontal Index</term><term>Prospective Studies</term><term>Quality of Life</term><term>Radiography</term><term>Radiotherapy, Adjuvant</term><term>Survival Analysis</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Indice parodontal</term><term>Mandibule ()</term><term>Mandibule (effets des radiations)</term><term>Mastication (physiologie)</term><term>Mâle</term><term>Ostéo-intégration (effets des radiations)</term><term>Ostéo-intégration (physiologie)</term><term>Overdenture</term><term>Prothèse dentaire implanto-portée</term><term>Qualité de vie</term><term>Radiographie</term><term>Radiothérapie adjuvante</term><term>Résorption alvéolaire (imagerie diagnostique)</term><term>Résultat thérapeutique</term><term>Rétention d'appareil de prothèse dentaire (instrumentation)</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de la bouche ()</term><term>Tumeurs de la bouche (radiothérapie)</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Mandibule</term><term>Ostéo-intégration</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Denture Retention</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mastication</term><term>Ostéo-intégration</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Mastication</term><term>Osseointegration</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Mandible</term><term>Osseointegration</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Mouth Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs de la bouche</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mandible</term><term>Mouth Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Satisfaction</term><term>Periodontal Index</term><term>Prospective Studies</term><term>Quality of Life</term><term>Radiography</term><term>Radiotherapy, Adjuvant</term><term>Survival Analysis</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Indice parodontal</term><term>Mandibule</term><term>Mâle</term><term>Overdenture</term><term>Prothèse dentaire implanto-portée</term><term>Qualité de vie</term><term>Radiographie</term><term>Radiothérapie adjuvante</term><term>Résultat thérapeutique</term><term>Rétention d'appareil de prothèse dentaire</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de la bouche</term><term>Études de cohortes</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We aimed to assess oral functioning, patients' satisfaction, condition of peri-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 peri-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 peri-implant health was at least reasonable.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Korfage, Anke" sort="Korfage, Anke" uniqKey="Korfage A" first="Anke" last="Korfage">Anke Korfage</name></noRegion><name sortKey="Raghoebar, Gerry M" sort="Raghoebar, Gerry M" uniqKey="Raghoebar G" first="Gerry M" last="Raghoebar">Gerry M. Raghoebar</name><name sortKey="Reintsema, Harry" sort="Reintsema, Harry" uniqKey="Reintsema H" first="Harry" last="Reintsema">Harry Reintsema</name><name sortKey="Roodenburg, Jan L N" sort="Roodenburg, Jan L N" uniqKey="Roodenburg J" first="Jan L N" last="Roodenburg">Jan L N. Roodenburg</name><name sortKey="Slater, James J R Huddleston" sort="Slater, James J R Huddleston" uniqKey="Slater J" first="James J R Huddleston" last="Slater">James J R Huddleston Slater</name><name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name><name sortKey="Witjes, Max J H" sort="Witjes, Max J H" uniqKey="Witjes M" first="Max J H" last="Witjes">Max J H. Witjes</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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