Osseointegrated Oral Implants in Head and Neck Cancer Patients
Identifieur interne : 001623 ( Istex/Corpus ); précédent : 001622; suivant : 001624Osseointegrated Oral Implants in Head and Neck Cancer Patients
Auteurs : Joke M. Kwakman ; Hans-Peter M. Freihofer ; Marinus A. J. Van WaasSource :
- The Laryngoscope [ 0023-852X ] ; 1997-04.
English descriptors
- KwdEn :
- April, Cancer patient, Dental rehabilitation, Dental status, Dentate, Denture, Edentulous, Edentulous patients, Further treatment, Graft, Implant, Implant treatment, Implantation, Insertion, Kwakman, Laryngoscope, Local recurrence, Mandible, Maxilla, Maxillofacial surgery, Mund kiefer gesichtschir, Nijmegen, Oral implants, Oral maxillofac implants, Osseointegrated, Osseointegrated implants, Partial resection, Prosthet, Prosthet dent, Prosthetic, Prosthetic rehabilitation, Prosthetic treatment, Radiotherapy, Removable dentures, Resection, Salivary glands, Soft tissue, Surgical, Surgical treatment, Tumor treatment, University hospital nijmegen, Various reasons.
- Teeft :
- April, Cancer patient, Dental rehabilitation, Dental status, Dentate, Denture, Edentulous, Edentulous patients, Further treatment, Graft, Implant, Implant treatment, Implantation, Insertion, Kwakman, Laryngoscope, Local recurrence, Mandible, Maxilla, Maxillofacial surgery, Mund kiefer gesichtschir, Nijmegen, Oral implants, Oral maxillofac implants, Osseointegrated, Osseointegrated implants, Partial resection, Prosthet, Prosthet dent, Prosthetic, Prosthetic rehabilitation, Prosthetic treatment, Radiotherapy, Removable dentures, Resection, Salivary glands, Soft tissue, Surgical, Surgical treatment, Tumor treatment, University hospital nijmegen, Various reasons.
Abstract
After cancer treatment in the head and neck area, mastication and speech are often affected. Some of the problems encountered can be solved by adequate dental rehabilitation. However, dental rehabilitation is often compromised for various reasons. The change in anatomy due to surgery often results in lack of denture‐bearing mucosa. The effects of radiotherapy on the salivary glands and the mucosa result in dry oral tissue and diminished retention of removable dentures. Osseointegrated oral implants can help to solve these problems. Although implant treatment for patients with cancer of the head and neck is covered by the Dutch national health insurance, and there is therefore no financial obstacle, implants have not, so far, been widely used with these patients. In order to establish the possible reasons for this, an analysis was performed. Retrospective data on 95 consecutive patients were collected from records. The indication for the use of oral osseointegrated implants was reviewed. Analysis of the data showed that 45% did not need specific prosthetic rehabilitation. An indication for the use of osseointegrated implants was found in 25% of the patients. For various reasons, only 3% actually received implants. In striving to completely rehabilitate a cancer patient, the possible use of osseointegrated oral implants should be evaluated before the initial oncological treatment begins. The insertion of implants during the initial surgical procedure should be considered more often, with a view to reducing the number of surgical procedures.
Url:
DOI: 10.1097/00005537-199704000-00016
Links to Exploration step
ISTEX:2D814237C1CB2D1E8A63775D3B31E21222EB72E4Le document en format XML
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Kwakman</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Joke M. Kwakman, DMD, Mond‐ en Kaakchirurgie, Academisch Ziekenhuis Nijmegen, Postbus 9101, 6500 HB Nijmegen, The Netherlands.</mods:affiliation></affiliation></author><author><name sortKey="Freihofer, Hans Eter M" sort="Freihofer, Hans Eter M" uniqKey="Freihofer H" first="Hans-Peter M." last="Freihofer">Hans-Peter M. Freihofer</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.</mods:affiliation></affiliation></author><author><name sortKey="Van Waas, Marinus A J" sort="Van Waas, Marinus A J" uniqKey="Van Waas M" first="Marinus A. J." last="Van Waas">Marinus A. J. Van Waas</name><affiliation><mods:affiliation>Department of Oral Function and Prosthetic Dentistry, University of Nijmegen, Nijmegen, The Netherlands.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">The Laryngoscope</title><title level="j" type="alt">LARYNGOSCOPE</title><idno type="ISSN">0023-852X</idno><idno type="eISSN">1531-4995</idno><imprint><biblScope unit="vol">107</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="519">519</biblScope><biblScope unit="page" to="522">522</biblScope><biblScope unit="page-count">4</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>Hoboken, NJ</pubPlace><date type="published" when="1997-04">1997-04</date></imprint><idno type="ISSN">0023-852X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0023-852X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>April</term><term>Cancer patient</term><term>Dental rehabilitation</term><term>Dental status</term><term>Dentate</term><term>Denture</term><term>Edentulous</term><term>Edentulous patients</term><term>Further treatment</term><term>Graft</term><term>Implant</term><term>Implant treatment</term><term>Implantation</term><term>Insertion</term><term>Kwakman</term><term>Laryngoscope</term><term>Local recurrence</term><term>Mandible</term><term>Maxilla</term><term>Maxillofacial surgery</term><term>Mund kiefer gesichtschir</term><term>Nijmegen</term><term>Oral implants</term><term>Oral maxillofac implants</term><term>Osseointegrated</term><term>Osseointegrated implants</term><term>Partial resection</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthetic rehabilitation</term><term>Prosthetic treatment</term><term>Radiotherapy</term><term>Removable dentures</term><term>Resection</term><term>Salivary glands</term><term>Soft tissue</term><term>Surgical</term><term>Surgical treatment</term><term>Tumor treatment</term><term>University hospital nijmegen</term><term>Various reasons</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>April</term><term>Cancer patient</term><term>Dental rehabilitation</term><term>Dental status</term><term>Dentate</term><term>Denture</term><term>Edentulous</term><term>Edentulous patients</term><term>Further treatment</term><term>Graft</term><term>Implant</term><term>Implant treatment</term><term>Implantation</term><term>Insertion</term><term>Kwakman</term><term>Laryngoscope</term><term>Local recurrence</term><term>Mandible</term><term>Maxilla</term><term>Maxillofacial surgery</term><term>Mund kiefer gesichtschir</term><term>Nijmegen</term><term>Oral implants</term><term>Oral maxillofac implants</term><term>Osseointegrated</term><term>Osseointegrated implants</term><term>Partial resection</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthetic rehabilitation</term><term>Prosthetic treatment</term><term>Radiotherapy</term><term>Removable dentures</term><term>Resection</term><term>Salivary glands</term><term>Soft tissue</term><term>Surgical</term><term>Surgical treatment</term><term>Tumor treatment</term><term>University hospital nijmegen</term><term>Various reasons</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">After cancer treatment in the head and neck area, mastication and speech are often affected. Some of the problems encountered can be solved by adequate dental rehabilitation. However, dental rehabilitation is often compromised for various reasons. The change in anatomy due to surgery often results in lack of denture‐bearing mucosa. The effects of radiotherapy on the salivary glands and the mucosa result in dry oral tissue and diminished retention of removable dentures. Osseointegrated oral implants can help to solve these problems. Although implant treatment for patients with cancer of the head and neck is covered by the Dutch national health insurance, and there is therefore no financial obstacle, implants have not, so far, been widely used with these patients. In order to establish the possible reasons for this, an analysis was performed. Retrospective data on 95 consecutive patients were collected from records. The indication for the use of oral osseointegrated implants was reviewed. Analysis of the data showed that 45% did not need specific prosthetic rehabilitation. An indication for the use of osseointegrated implants was found in 25% of the patients. For various reasons, only 3% actually received implants. In striving to completely rehabilitate a cancer patient, the possible use of osseointegrated oral implants should be evaluated before the initial oncological treatment begins. The insertion of implants during the initial surgical procedure should be considered more often, with a view to reducing the number of surgical procedures.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>prosthetic</json:string><json:string>osseointegrated</json:string><json:string>denture</json:string><json:string>resection</json:string><json:string>oral implants</json:string><json:string>radiotherapy</json:string><json:string>prosthetic treatment</json:string><json:string>laryngoscope</json:string><json:string>mandible</json:string><json:string>nijmegen</json:string><json:string>kwakman</json:string><json:string>edentulous</json:string><json:string>april</json:string><json:string>prosthet dent</json:string><json:string>prosthet</json:string><json:string>maxilla</json:string><json:string>dental status</json:string><json:string>dentate</json:string><json:string>surgical</json:string><json:string>various reasons</json:string><json:string>prosthetic rehabilitation</json:string><json:string>surgical treatment</json:string><json:string>partial resection</json:string><json:string>osseointegrated implants</json:string><json:string>graft</json:string><json:string>soft tissue</json:string><json:string>tumor treatment</json:string><json:string>university hospital nijmegen</json:string><json:string>local recurrence</json:string><json:string>dental rehabilitation</json:string><json:string>removable dentures</json:string><json:string>salivary glands</json:string><json:string>maxillofacial surgery</json:string><json:string>cancer patient</json:string><json:string>edentulous patients</json:string><json:string>implant treatment</json:string><json:string>further treatment</json:string><json:string>oral maxillofac implants</json:string><json:string>mund kiefer gesichtschir</json:string><json:string>implantation</json:string><json:string>insertion</json:string></teeft></keywords><author><json:item><name>Joke M. Kwakman DMD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.</json:string><json:string>Correspondence address: Joke M. Kwakman, DMD, Mond‐ en Kaakchirurgie, Academisch Ziekenhuis Nijmegen, Postbus 9101, 6500 HB Nijmegen, The Netherlands.</json:string></affiliations></json:item><json:item><name>Hans‐Peter M. Freihofer MD,DMD,PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.</json:string></affiliations></json:item><json:item><name>Marinus A.J. van Waas DMD,PhD</name><affiliations><json:string>Department of Oral Function and Prosthetic Dentistry, University of Nijmegen, Nijmegen, The Netherlands.</json:string></affiliations></json:item></author><articleId><json:string>LARY5541070416</json:string></articleId><arkIstex>ark:/67375/WNG-6ZW2R7NX-V</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>After cancer treatment in the head and neck area, mastication and speech are often affected. Some of the problems encountered can be solved by adequate dental rehabilitation. However, dental rehabilitation is often compromised for various reasons. The change in anatomy due to surgery often results in lack of denture‐bearing mucosa. The effects of radiotherapy on the salivary glands and the mucosa result in dry oral tissue and diminished retention of removable dentures. Osseointegrated oral implants can help to solve these problems. Although implant treatment for patients with cancer of the head and neck is covered by the Dutch national health insurance, and there is therefore no financial obstacle, implants have not, so far, been widely used with these patients. In order to establish the possible reasons for this, an analysis was performed. Retrospective data on 95 consecutive patients were collected from records. The indication for the use of oral osseointegrated implants was reviewed. Analysis of the data showed that 45% did not need specific prosthetic rehabilitation. An indication for the use of osseointegrated implants was found in 25% of the patients. For various reasons, only 3% actually received implants. In striving to completely rehabilitate a cancer patient, the possible use of osseointegrated oral implants should be evaluated before the initial oncological treatment begins. The insertion of implants during the initial surgical procedure should be considered more often, with a view to reducing the number of surgical procedures.</abstract><qualityIndicators><refBibsNative>true</refBibsNative><abstractWordCount>237</abstractWordCount><abstractCharCount>1564</abstractCharCount><keywordCount>0</keywordCount><score>6.946</score><pdfWordCount>2102</pdfWordCount><pdfCharCount>13393</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>4</pdfPageCount><pdfPageSize>612 x 828 pts</pdfPageSize></qualityIndicators><title>Osseointegrated Oral Implants in Head and Neck Cancer Patients</title><pmid><json:string>9111383</json:string></pmid><genre><json:string>article</json:string></genre><host><title>The Laryngoscope</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1531-4995</json:string></doi><issn><json:string>0023-852X</json:string></issn><eissn><json:string>1531-4995</json:string></eissn><publisherId><json:string>LARY</json:string></publisherId><volume>107</volume><issue>4</issue><pages><first>519</first><last>522</last><total>4</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Article</value></json:item></subject></host><namedEntities><unitex><date><json:string>between January 1989 and December 1990</json:string><json:string>1997</json:string></date><geogName></geogName><orgName><json:string>University Hospital Nijmegen</json:string><json:string>University of Nijmegen</json:string><json:string>Department of Oral and Maxillofacial Surgery</json:string><json:string>Department of Oral Function and Prosthetic Dentistry</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Evaluation</json:string><json:string>Kiefer Gesichtschir</json:string><json:string>M. Kwakman</json:string><json:string>A. J. van Waas</json:string><json:string>Joke</json:string><json:string>V. Results</json:string><json:string>Riedigerg</json:string><json:string>H. Konventionelle</json:string><json:string>D. Restoration</json:string><json:string>Peter M. Freihofer</json:string></persName><placeName><json:string>Nijmegen</json:string><json:string>York</json:string><json:string>Netherlands</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Kwakrnan et al.</json:string><json:string>Neukam et al.</json:string><json:string>Albrektsson et al.</json:string><json:string>Kwakman et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-6ZW2R7NX-V</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - otorhinolaryngology</json:string><json:string>2 - medicine, research & experimental</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - otorhinolaryngology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Otorhinolaryngology</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string></inist></categories><publicationDate>1997</publicationDate><copyrightDate>1997</copyrightDate><doi><json:string>10.1097/00005537-199704000-00016</json:string></doi><id>2D814237C1CB2D1E8A63775D3B31E21222EB72E4</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/2D814237C1CB2D1E8A63775D3B31E21222EB72E4/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/2D814237C1CB2D1E8A63775D3B31E21222EB72E4/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/2D814237C1CB2D1E8A63775D3B31E21222EB72E4/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Osseointegrated Oral Implants in Head and Neck Cancer Patients<ref type="note" target="#fn1"></ref></title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>Hoboken, NJ</pubPlace><availability><licence>Copyright © 1997 The Triological Society</licence></availability><date type="published" when="1997-04"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main" xml:lang="en">Osseointegrated Oral Implants in Head and Neck Cancer Patients<ref type="note" target="#fn1"></ref></title><title level="a" type="short" xml:lang="en">Osseointegrated Oral Implants in Head and Neck Cancer Patients</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Joke M.</forename><surname>Kwakman</surname><roleName type="degree">DMD</roleName></persName><affiliation>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.<address><country key="NL"></country></address></affiliation><affiliation>Joke M. Kwakman, DMD, Mond‐ en Kaakchirurgie, Academisch Ziekenhuis Nijmegen, Postbus 9101, 6500 HB Nijmegen, The Netherlands.</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Hans‐Peter M.</forename><surname>Freihofer</surname><roleName type="degree">MD,DMD,PhD</roleName></persName><affiliation>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.<address><country key="NL"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Marinus A.J.</forename><surname>van Waas</surname><roleName type="degree">DMD,PhD</roleName></persName><affiliation>Department of Oral Function and Prosthetic Dentistry, University of Nijmegen, Nijmegen, The Netherlands.<address><country key="NL"></country></address></affiliation></author><idno type="istex">2D814237C1CB2D1E8A63775D3B31E21222EB72E4</idno><idno type="ark">ark:/67375/WNG-6ZW2R7NX-V</idno><idno type="DOI">10.1097/00005537-199704000-00016</idno><idno type="unit">LARY5541070416</idno><idno type="toTypesetVersion">file:LARY.LARY5541070416.pdf</idno></analytic><monogr><title level="j" type="main">The Laryngoscope</title><title level="j" type="alt">LARYNGOSCOPE</title><idno type="pISSN">0023-852X</idno><idno type="eISSN">1531-4995</idno><idno type="book-DOI">10.1002/(ISSN)1531-4995</idno><idno type="book-part-DOI">10.1002/lary.v107:4</idno><idno type="product">LARY</idno><imprint><biblScope unit="vol">107</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="519">519</biblScope><biblScope unit="page" to="522">522</biblScope><biblScope unit="page-count">4</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>Hoboken, NJ</pubPlace><date type="published" when="1997-04"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p>After cancer treatment in the head and neck area, mastication and speech are often affected. Some of the problems encountered can be solved by adequate dental rehabilitation. However, dental rehabilitation is often compromised for various reasons. The change in anatomy due to surgery often results in lack of denture‐bearing mucosa. The effects of radiotherapy on the salivary glands and the mucosa result in dry oral tissue and diminished retention of removable dentures. Osseointegrated oral implants can help to solve these problems. Although implant treatment for patients with cancer of the head and neck is covered by the Dutch national health insurance, and there is therefore no financial obstacle, implants have not, so far, been widely used with these patients. In order to establish the possible reasons for this, an analysis was performed. Retrospective data on 95 consecutive patients were collected from records. The indication for the use of oral osseointegrated implants was reviewed. Analysis of the data showed that 45% did not need specific prosthetic rehabilitation. An indication for the use of osseointegrated implants was found in 25% of the patients. For various reasons, only 3% actually received implants. In striving to completely rehabilitate a cancer patient, the possible use of osseointegrated oral implants should be evaluated before the initial oncological treatment begins. The insertion of implants during the initial surgical procedure should be considered more often, with a view to reducing the number of surgical procedures.</p></abstract><textClass><keywords rend="articleCategory"><term>Article</term></keywords><keywords rend="tocHeading1"><term>Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/2D814237C1CB2D1E8A63775D3B31E21222EB72E4/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>John Wiley & Sons, Inc.</publisherName><publisherLoc>Hoboken, NJ</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-4995</doi><issn type="print">0023-852X</issn><issn type="electronic">1531-4995</issn><idGroup><id type="product" value="LARY"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="LARYNGOSCOPE">The Laryngoscope</title><title type="short">The Laryngoscope</title></titleGroup></publicationMeta><publicationMeta level="part" position="40"><doi origin="wiley" registered="no">10.1002/lary.v107:4</doi><numberingGroup><numbering type="journalVolume" number="107">107</numbering><numbering type="journalIssue">4</numbering></numberingGroup><coverDate startDate="1997-04">April 1997</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="83" status="forIssue"><doi origin="wiley" registered="yes">10.1097/00005537-199704000-00016</doi><idGroup><id type="unit" value="LARY5541070416"></id></idGroup><countGroup><count type="pageTotal" number="4"></count></countGroup><titleGroup><title type="articleCategory">Article</title><title type="tocHeading1">Articles</title></titleGroup><copyright ownership="thirdParty">Copyright © 1997 The Triological Society</copyright><eventGroup><event type="manuscriptAccepted" date="1996-11-02"></event><event type="firstOnline" date="2009-01-04"></event><event type="publishedOnlineFinalForm" date="2009-01-04"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.1 mode:FullText source:FullText result:FullText" date="2010-02-23"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-04"></event></eventGroup><numberingGroup><numbering type="pageFirst">519</numbering><numbering type="pageLast">522</numbering></numberingGroup><correspondenceTo>Joke M. Kwakman, DMD, Mond‐ en Kaakchirurgie, Academisch Ziekenhuis Nijmegen, Postbus 9101, 6500 HB Nijmegen, The Netherlands.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:LARY.LARY5541070416.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="3"></count><count type="tableTotal" number="5"></count><count type="referenceTotal" number="13"></count></countGroup><titleGroup><title type="main" xml:lang="en">Osseointegrated Oral Implants in Head and Neck Cancer Patients<link href="#fn1"></link></title><title type="short" xml:lang="en">Osseointegrated Oral Implants in Head and Neck Cancer Patients</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Joke M.</givenNames><familyName>Kwakman</familyName><degrees>DMD</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Hans‐Peter M.</givenNames><familyName>Freihofer</familyName><degrees>MD,DMD,PhD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Marinus A.J.</givenNames><familyName>van Waas</familyName><degrees>DMD,PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="NL" type="organization"><unparsedAffiliation>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="NL" type="organization"><unparsedAffiliation>Department of Oral Function and Prosthetic Dentistry, University of Nijmegen, Nijmegen, The Netherlands.</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>After cancer treatment in the head and neck area, mastication and speech are often affected. Some of the problems encountered can be solved by adequate dental rehabilitation. However, dental rehabilitation is often compromised for various reasons. The change in anatomy due to surgery often results in lack of denture‐bearing mucosa. The effects of radiotherapy on the salivary glands and the mucosa result in dry oral tissue and diminished retention of removable dentures. Osseointegrated oral implants can help to solve these problems. Although implant treatment for patients with cancer of the head and neck is covered by the Dutch national health insurance, and there is therefore no financial obstacle, implants have not, so far, been widely used with these patients. In order to establish the possible reasons for this, an analysis was performed. Retrospective data on 95 consecutive patients were collected from records. The indication for the use of oral osseointegrated implants was reviewed. Analysis of the data showed that 45% did not need specific prosthetic rehabilitation. An indication for the use of osseointegrated implants was found in 25% of the patients. For various reasons, only 3% actually received implants. In striving to completely rehabilitate a cancer patient, the possible use of osseointegrated oral implants should be evaluated before the initial oncological treatment begins. The insertion of implants during the initial surgical procedure should be considered more often, with a view to reducing the number of surgical procedures.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>This study was supported by the National Health Insurance Council(Ziekenfondsraad) (OG 89‐76).</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Osseointegrated Oral Implants in Head and Neck Cancer Patients</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Osseointegrated Oral Implants in Head and Neck Cancer Patients</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Osseointegrated Oral Implants in Head and Neck Cancer Patients</title></titleInfo><name type="personal"><namePart type="given">Joke M.</namePart><namePart type="family">Kwakman</namePart><namePart type="termsOfAddress">DMD</namePart><affiliation>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.</affiliation><affiliation>Correspondence address: Joke M. Kwakman, DMD, Mond‐ en Kaakchirurgie, Academisch Ziekenhuis Nijmegen, Postbus 9101, 6500 HB Nijmegen, The Netherlands.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hans‐Peter M.</namePart><namePart type="family">Freihofer</namePart><namePart type="termsOfAddress">MD,DMD,PhD</namePart><affiliation>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen, The Netherlands.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marinus A.J.</namePart><namePart type="family">van Waas</namePart><namePart type="termsOfAddress">DMD,PhD</namePart><affiliation>Department of Oral Function and Prosthetic Dentistry, University of Nijmegen, Nijmegen, The Netherlands.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>John Wiley & Sons, Inc.</publisher><place><placeTerm type="text">Hoboken, NJ</placeTerm></place><dateIssued encoding="w3cdtf">1997-04</dateIssued><dateValid encoding="w3cdtf">1996-11-02</dateValid><copyrightDate encoding="w3cdtf">1997</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">3</extent><extent unit="tables">5</extent><extent unit="references">13</extent></physicalDescription><abstract lang="en">After cancer treatment in the head and neck area, mastication and speech are often affected. Some of the problems encountered can be solved by adequate dental rehabilitation. However, dental rehabilitation is often compromised for various reasons. The change in anatomy due to surgery often results in lack of denture‐bearing mucosa. The effects of radiotherapy on the salivary glands and the mucosa result in dry oral tissue and diminished retention of removable dentures. Osseointegrated oral implants can help to solve these problems. Although implant treatment for patients with cancer of the head and neck is covered by the Dutch national health insurance, and there is therefore no financial obstacle, implants have not, so far, been widely used with these patients. In order to establish the possible reasons for this, an analysis was performed. Retrospective data on 95 consecutive patients were collected from records. The indication for the use of oral osseointegrated implants was reviewed. Analysis of the data showed that 45% did not need specific prosthetic rehabilitation. An indication for the use of osseointegrated implants was found in 25% of the patients. For various reasons, only 3% actually received implants. In striving to completely rehabilitate a cancer patient, the possible use of osseointegrated oral implants should be evaluated before the initial oncological treatment begins. The insertion of implants during the initial surgical procedure should be considered more often, with a view to reducing the number of surgical procedures.</abstract><note type="content">*This study was supported by the National Health Insurance Council(Ziekenfondsraad) (OG 89‐76).</note><relatedItem type="host"><titleInfo><title>The Laryngoscope</title></titleInfo><titleInfo type="abbreviated"><title>The Laryngoscope</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Article</topic></subject><identifier type="ISSN">0023-852X</identifier><identifier type="eISSN">1531-4995</identifier><identifier type="DOI">10.1002/(ISSN)1531-4995</identifier><identifier type="PublisherID">LARY</identifier><part><date>1997</date><detail type="volume"><caption>vol.</caption><number>107</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>519</start><end>522</end><total>4</total></extent></part></relatedItem><identifier type="istex">2D814237C1CB2D1E8A63775D3B31E21222EB72E4</identifier><identifier type="ark">ark:/67375/WNG-6ZW2R7NX-V</identifier><identifier type="DOI">10.1097/00005537-199704000-00016</identifier><identifier type="ArticleID">LARY5541070416</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 1997 The Triological Society</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>John Wiley & Sons, Inc.</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/2D814237C1CB2D1E8A63775D3B31E21222EB72E4/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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