Mandibulotomy and implant insertion
Identifieur interne : 002174 ( Main/Exploration ); précédent : 002173; suivant : 002175Mandibulotomy and implant insertion
Auteurs : Pieter J. Schoen [Pays-Bas] ; Gerry M. Raghoebar [Pays-Bas] ; Arjan Vissink [Pays-Bas] ; Jan L. N. Roodenburg [Pays-Bas]Source :
- Head & neck [ 1043-3074 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Prospective, Homme.
English descriptors
- KwdEn :
Abstract
Background. A mandibulotomy can be necessary to approach a tumor in the oral cavity or oropharynx. The aim of this study was to develop and prospectively evaluate a technique enabling simultaneous performance of a mandibulotomy and insertion of endosseous implants in the same area. Methods. In five edentulous patients such a procedure was performed. The pilot drilling of the implants was done before performing the mandibulotomy. After tumor resection, reconstruction, and restoration of the continuity of the mandible, the final drilling and insertion of the implants were completed. In total, 20 implants were inserted. All patients received radiation therapy within 6 weeks after surgery. Implant-supported overdentures were fabricated 6 months after irradiation. At regular time intervals, a standardized clinical and radiographic evaluation was performed. Results. No complications with respect to the combination of implant insertion and mandibulotomy were observed either during or after surgery. In addition, no adverse mucosal reactions were observed during the course of radiotherapy, no cases of osteoradionecrosis developed, and no implants were lost. Clinical and radiographic evaluation revealed healthy pert-implant parameters. Conclusion. From this study it is concluded that, when following the technique described, a mandibulotomy can be combined safely with the insertion of implants in the ventral part of the edentulous mandible.
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000579
- to stream PascalFrancis, to step Curation: 000124
- to stream PascalFrancis, to step Checkpoint: 000592
- to stream Main, to step Merge: 002190
- to stream Main, to step Curation: 002174
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Concurrent</term>
<term>Edentulousness</term>
<term>Human</term>
<term>Implant</term>
<term>Insertion</term>
<term>Oral cavity</term>
<term>Oropharynx</term>
<term>Prospective</term>
<term>Squamous cell carcinoma</term>
<term>Technique</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Carcinome épidermoïde</term>
<term>Cavité buccale</term>
<term>Oropharynx</term>
<term>Implant</term>
<term>Insertion</term>
<term>Technique</term>
<term>Simultané</term>
<term>Edentation</term>
<term>Prospective</term>
<term>Traitement</term>
<term>Homme</term>
<term>Mandibulotomie</term>
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<front><div type="abstract" xml:lang="en">Background. A mandibulotomy can be necessary to approach a tumor in the oral cavity or oropharynx. The aim of this study was to develop and prospectively evaluate a technique enabling simultaneous performance of a mandibulotomy and insertion of endosseous implants in the same area. Methods. In five edentulous patients such a procedure was performed. The pilot drilling of the implants was done before performing the mandibulotomy. After tumor resection, reconstruction, and restoration of the continuity of the mandible, the final drilling and insertion of the implants were completed. In total, 20 implants were inserted. All patients received radiation therapy within 6 weeks after surgery. Implant-supported overdentures were fabricated 6 months after irradiation. At regular time intervals, a standardized clinical and radiographic evaluation was performed. Results. No complications with respect to the combination of implant insertion and mandibulotomy were observed either during or after surgery. In addition, no adverse mucosal reactions were observed during the course of radiotherapy, no cases of osteoradionecrosis developed, and no implants were lost. Clinical and radiographic evaluation revealed healthy pert-implant parameters. Conclusion. From this study it is concluded that, when following the technique described, a mandibulotomy can be combined safely with the insertion of implants in the ventral part of the edentulous mandible.</div>
</front>
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<name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name>
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