Prosthodontic rehabilitation of oral function in head-neck cancer patients with dental implants placed simultaneously during ablative tumour surgery : an assessment of treatment outcomes and quality of life
Identifieur interne : 001F08 ( Main/Exploration ); précédent : 001F07; suivant : 001F09Prosthodontic rehabilitation of oral function in head-neck cancer patients with dental implants placed simultaneously during ablative tumour surgery : an assessment of treatment outcomes and quality of life
Auteurs : P. J. Schoen [Pays-Bas] ; G. M. Raghoebar [Pays-Bas] ; J. Bouma [Pays-Bas] ; H. Reintsema [Pays-Bas] ; F. R. Burlage [Pays-Bas] ; J. L. N. Roodenburg [Pays-Bas] ; A. Vissink [Pays-Bas]Source :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2008.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
Abstract
t. The aim of this prospective study was to assess treatment outcome and impact on quality of life of prosthodontic rehabilitation with implant-retained prostheses in head-neck cancer patients. Fifty patients were evaluated by standardized questionnaires and clinical assessment. All received the implants during ablative tumour surgery in native bone in the interforaminal area. About two-thirds of the patients (n = 31) needed radiotherapy post-surgery. Both in irradiated and non-irradiated bone two implants were lost 18-24 months after installation. Peri-implant tissues had a healthy appearance. No cases of osteoradionecrosis occurred. In 15 patients no functional implant-retained lower dentures could be made for various reasons. The other 35 patients all functioned well, with an improvement in quality of life. Major improvement was observed in the non-irradiated patients. In the irradiated patients, less improvement in many functional items was observed, while items related to the oral sequelae of radiotherapy did not improve. Similar to the quality-of-life assessments, denture satisfaction was improved and tended to be higher in non-irradiated than irradiated patients. Implant-retained lower dentures can substantially improve the quality of life related to oral functioning and denture satisfaction in head-neck cancer patients. This effect is greater in non-irradiated than irradiated cancer patients.
Affiliations:
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cancerology</term>
<term>Edentulousness</term>
<term>Evolution</term>
<term>Head and neck</term>
<term>Human</term>
<term>Implant</term>
<term>Malignant tumor</term>
<term>Mandible</term>
<term>Oral administration</term>
<term>Prognosis</term>
<term>Quality of life</term>
<term>Reeducation</term>
<term>Rehabilitation</term>
<term>Rehabilitation(human)</term>
<term>Stomatology</term>
<term>Surgery</term>
<term>Tooth</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Tumeur maligne</term>
<term>Edentation</term>
<term>Chirurgie</term>
<term>Réhabilitation</term>
<term>Réadaptation</term>
<term>Rééducation</term>
<term>Voie orale</term>
<term>Tête cou</term>
<term>Homme</term>
<term>Dent</term>
<term>Implant</term>
<term>Traitement</term>
<term>Pronostic</term>
<term>Evolution</term>
<term>Qualité de vie</term>
<term>Cancérologie</term>
<term>Mandibule</term>
<term>Stomatologie</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term>
<term>Homme</term>
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<front><div type="abstract" xml:lang="en">t. The aim of this prospective study was to assess treatment outcome and impact on quality of life of prosthodontic rehabilitation with implant-retained prostheses in head-neck cancer patients. Fifty patients were evaluated by standardized questionnaires and clinical assessment. All received the implants during ablative tumour surgery in native bone in the interforaminal area. About two-thirds of the patients (n = 31) needed radiotherapy post-surgery. Both in irradiated and non-irradiated bone two implants were lost 18-24 months after installation. Peri-implant tissues had a healthy appearance. No cases of osteoradionecrosis occurred. In 15 patients no functional implant-retained lower dentures could be made for various reasons. The other 35 patients all functioned well, with an improvement in quality of life. Major improvement was observed in the non-irradiated patients. In the irradiated patients, less improvement in many functional items was observed, while items related to the oral sequelae of radiotherapy did not improve. Similar to the quality-of-life assessments, denture satisfaction was improved and tended to be higher in non-irradiated than irradiated patients. Implant-retained lower dentures can substantially improve the quality of life related to oral functioning and denture satisfaction in head-neck cancer patients. This effect is greater in non-irradiated than irradiated cancer patients.</div>
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