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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 : 000331 ( PascalFrancis/Checkpoint ); précédent : 000330; suivant : 000332

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

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 :

RBID : Pascal:08-0055534

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English descriptors

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.


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Pascal:08-0055534

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<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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<s0>002B10C02</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B26O</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Edentation</s0>
<s5>03</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Edentulousness</s0>
<s5>03</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Edentación</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Réhabilitation</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Rehabilitation</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Rehabilitación</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Réadaptation</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Rehabilitation(human)</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Readaptación</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Rééducation</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Reeducation</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Reeducación</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Voie orale</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Oral administration</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Vía oral</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Tête cou</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Head and neck</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Cabeza cuello</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Homme</s0>
<s5>15</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Human</s0>
<s5>15</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Dent</s0>
<s5>16</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Tooth</s0>
<s5>16</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Diente</s0>
<s5>16</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Implant</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Implant</s0>
<s5>17</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Implante</s0>
<s5>17</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>18</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Pronostic</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Prognosis</s0>
<s5>19</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA">
<s0>Pronóstico</s0>
<s5>19</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE">
<s0>Evolution</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG">
<s0>Evolution</s0>
<s5>20</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA">
<s0>Evolución</s0>
<s5>20</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE">
<s0>Qualité de vie</s0>
<s5>21</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG">
<s0>Quality of life</s0>
<s5>21</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA">
<s0>Calidad vida</s0>
<s5>21</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Cancérologie</s0>
<s5>22</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Cancerology</s0>
<s5>22</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Cancerología</s0>
<s5>22</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE">
<s0>Mandibule</s0>
<s5>23</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG">
<s0>Mandible</s0>
<s5>23</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA">
<s0>Mandíbula</s0>
<s5>23</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE">
<s0>Stomatologie</s0>
<s5>24</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG">
<s0>Stomatology</s0>
<s5>24</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA">
<s0>Estomatología</s0>
<s5>24</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Pathologie dentaire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Dental disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Diente patología</s0>
<s5>37</s5>
</fC07>
<fN21>
<s1>028</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations>
<list>
<country>
<li>Pays-Bas</li>
</country>
<region>
<li>Groningue (province)</li>
</region>
<settlement>
<li>Groningue (ville)</li>
</settlement>
<orgName>
<li>Université de Groningue</li>
</orgName>
</list>
<tree>
<country name="Pays-Bas">
<noRegion>
<name sortKey="Schoen, P J" sort="Schoen, P J" uniqKey="Schoen P" first="P. J." last="Schoen">P. J. Schoen</name>
</noRegion>
<name sortKey="Bouma, J" sort="Bouma, J" uniqKey="Bouma J" first="J." last="Bouma">J. Bouma</name>
<name sortKey="Burlage, F R" sort="Burlage, F R" uniqKey="Burlage F" first="F. R." last="Burlage">F. R. Burlage</name>
<name sortKey="Raghoebar, G M" sort="Raghoebar, G M" uniqKey="Raghoebar G" first="G. M." last="Raghoebar">G. M. Raghoebar</name>
<name sortKey="Reintsema, H" sort="Reintsema, H" uniqKey="Reintsema H" first="H." last="Reintsema">H. Reintsema</name>
<name sortKey="Roodenburg, J L N" sort="Roodenburg, J L N" uniqKey="Roodenburg J" first="J. L. N." last="Roodenburg">J. L. N. Roodenburg</name>
<name sortKey="Schoen, P J" sort="Schoen, P J" uniqKey="Schoen P" first="P. J." last="Schoen">P. J. Schoen</name>
<name sortKey="Schoen, P J" sort="Schoen, P J" uniqKey="Schoen P" first="P. J." last="Schoen">P. J. Schoen</name>
<name sortKey="Vissink, A" sort="Vissink, A" uniqKey="Vissink A" first="A." last="Vissink">A. Vissink</name>
</country>
</tree>
</affiliations>
</record>

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