Mandibulotomy and implant insertion
Identifieur interne : 003D26 ( Istex/Corpus ); précédent : 003D25; suivant : 003D27Mandibulotomy and implant insertion
Auteurs : Pieter J. Schoen ; Gerry M. Raghoebar ; Arjan Vissink ; Jan L. N. RoodenburgSource :
- Head & Neck [ 1043-3074 ] ; 2003-09.
English descriptors
- KwdEn :
- Ablative, Ablative procedure, Ablative surgery, Abutment connection, Adequate access, Adverse mucosal reactions, Anterior belly, Apparent bone loss, Bone level, Bone loss, Clip attachments, Cumulative dose, Dental implants, Early tumor recurrence, Edentulous, Edentulous mandible, Edentulous patients, Endosseous implants, Guide pins, Head neck surg, Implant, Implant insertion, Implant insertion head neck september, Implant length, Implant surgery, Implant surgery section, Implant system, Initial drilling, Initial implant healing, Insertion, Insufficient retention, Interforaminal region, Intraoperative view, Lingual side, Lower denture, Mandible, Mandibular, Mandibular height, Mandibular implant, Mandibular overdenture, Mandibulotomy, Marginal resection, Median mandibulotomy, Mental foramen, Mental nerve, Miniplates, Minor importance, Oncologic treatment, Oral cavity, Oral maxillofac surg, Osteotomy, Osteotomy site, Osteotomy sites, Panoramic radiograph, Panoramic radiographs, Percussion test, Pilot drill, Proper alignment, Prosthetic rehabilitation, Radiation therapy, Radiographic evaluation, Right mandible, Sensory disturbances, Simultaneous performance, Squamous cell carcinoma, Surgical approach, Surgical defect, Treatment outcome, Treatment planning, Tumor surgery, Unilateral hypoesthesia, Ventral, Ventral part, Wider drills.
- Teeft :
- Ablative, Ablative procedure, Ablative surgery, Abutment connection, Adequate access, Adverse mucosal reactions, Anterior belly, Apparent bone loss, Bone level, Bone loss, Clip attachments, Cumulative dose, Dental implants, Early tumor recurrence, Edentulous, Edentulous mandible, Edentulous patients, Endosseous implants, Guide pins, Head neck surg, Implant, Implant insertion, Implant insertion head neck september, Implant length, Implant surgery, Implant surgery section, Implant system, Initial drilling, Initial implant healing, Insertion, Insufficient retention, Interforaminal region, Intraoperative view, Lingual side, Lower denture, Mandible, Mandibular, Mandibular height, Mandibular implant, Mandibular overdenture, Mandibulotomy, Marginal resection, Median mandibulotomy, Mental foramen, Mental nerve, Miniplates, Minor importance, Oncologic treatment, Oral cavity, Oral maxillofac surg, Osteotomy, Osteotomy site, Osteotomy sites, Panoramic radiograph, Panoramic radiographs, Percussion test, Pilot drill, Proper alignment, Prosthetic rehabilitation, Radiation therapy, Radiographic evaluation, Right mandible, Sensory disturbances, Simultaneous performance, Squamous cell carcinoma, Surgical approach, Surgical defect, Treatment outcome, Treatment planning, Tumor surgery, Unilateral hypoesthesia, Ventral, Ventral part, Wider drills.
Abstract
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.
Url:
DOI: 10.1002/hed.10284
Links to Exploration step
ISTEX:7BD51AB62C38653C4684783099C16EB3FA98DB63Le document en format XML
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Box 30.001, 9700 RB Groningen, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Vissink, Arjan" sort="Vissink, Arjan" uniqKey="Vissink A" first="Arjan" last="Vissink">Arjan Vissink</name><affiliation><mods:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</mods:affiliation></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><mods:affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="ISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><imprint><biblScope unit="vol">25</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="748">748</biblScope><biblScope unit="page" to="753">753</biblScope><biblScope unit="page-count">6</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2003-09">2003-09</date></imprint><idno type="ISSN">1043-3074</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1043-3074</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ablative</term><term>Ablative procedure</term><term>Ablative surgery</term><term>Abutment connection</term><term>Adequate access</term><term>Adverse mucosal reactions</term><term>Anterior belly</term><term>Apparent bone loss</term><term>Bone level</term><term>Bone loss</term><term>Clip attachments</term><term>Cumulative dose</term><term>Dental implants</term><term>Early tumor recurrence</term><term>Edentulous</term><term>Edentulous mandible</term><term>Edentulous patients</term><term>Endosseous implants</term><term>Guide pins</term><term>Head neck surg</term><term>Implant</term><term>Implant insertion</term><term>Implant insertion head neck september</term><term>Implant length</term><term>Implant surgery</term><term>Implant surgery section</term><term>Implant system</term><term>Initial drilling</term><term>Initial implant healing</term><term>Insertion</term><term>Insufficient retention</term><term>Interforaminal region</term><term>Intraoperative view</term><term>Lingual side</term><term>Lower denture</term><term>Mandible</term><term>Mandibular</term><term>Mandibular height</term><term>Mandibular implant</term><term>Mandibular overdenture</term><term>Mandibulotomy</term><term>Marginal resection</term><term>Median mandibulotomy</term><term>Mental foramen</term><term>Mental nerve</term><term>Miniplates</term><term>Minor importance</term><term>Oncologic treatment</term><term>Oral cavity</term><term>Oral maxillofac surg</term><term>Osteotomy</term><term>Osteotomy site</term><term>Osteotomy sites</term><term>Panoramic radiograph</term><term>Panoramic radiographs</term><term>Percussion test</term><term>Pilot drill</term><term>Proper alignment</term><term>Prosthetic rehabilitation</term><term>Radiation therapy</term><term>Radiographic evaluation</term><term>Right mandible</term><term>Sensory disturbances</term><term>Simultaneous performance</term><term>Squamous cell carcinoma</term><term>Surgical approach</term><term>Surgical defect</term><term>Treatment outcome</term><term>Treatment planning</term><term>Tumor surgery</term><term>Unilateral 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healing</term><term>Insertion</term><term>Insufficient retention</term><term>Interforaminal region</term><term>Intraoperative view</term><term>Lingual side</term><term>Lower denture</term><term>Mandible</term><term>Mandibular</term><term>Mandibular height</term><term>Mandibular implant</term><term>Mandibular overdenture</term><term>Mandibulotomy</term><term>Marginal resection</term><term>Median mandibulotomy</term><term>Mental foramen</term><term>Mental nerve</term><term>Miniplates</term><term>Minor importance</term><term>Oncologic treatment</term><term>Oral cavity</term><term>Oral maxillofac surg</term><term>Osteotomy</term><term>Osteotomy site</term><term>Osteotomy sites</term><term>Panoramic radiograph</term><term>Panoramic radiographs</term><term>Percussion test</term><term>Pilot drill</term><term>Proper alignment</term><term>Prosthetic rehabilitation</term><term>Radiation therapy</term><term>Radiographic evaluation</term><term>Right mandible</term><term>Sensory disturbances</term><term>Simultaneous performance</term><term>Squamous cell carcinoma</term><term>Surgical approach</term><term>Surgical defect</term><term>Treatment outcome</term><term>Treatment planning</term><term>Tumor surgery</term><term>Unilateral hypoesthesia</term><term>Ventral</term><term>Ventral part</term><term>Wider drills</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">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.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>mandibulotomy</json:string><json:string>mandible</json:string><json:string>osteotomy</json:string><json:string>insertion</json:string><json:string>miniplates</json:string><json:string>mandibular</json:string><json:string>dental implants</json:string><json:string>guide pins</json:string><json:string>ablative</json:string><json:string>ventral</json:string><json:string>radiation therapy</json:string><json:string>ventral part</json:string><json:string>implant insertion</json:string><json:string>edentulous mandible</json:string><json:string>ablative surgery</json:string><json:string>edentulous</json:string><json:string>oral cavity</json:string><json:string>proper alignment</json:string><json:string>implant length</json:string><json:string>osteotomy site</json:string><json:string>squamous cell carcinoma</json:string><json:string>prosthetic rehabilitation</json:string><json:string>marginal resection</json:string><json:string>edentulous patients</json:string><json:string>osteotomy sites</json:string><json:string>implant system</json:string><json:string>bone level</json:string><json:string>endosseous implants</json:string><json:string>adequate access</json:string><json:string>insufficient retention</json:string><json:string>lower denture</json:string><json:string>oncologic treatment</json:string><json:string>lingual side</json:string><json:string>implant surgery section</json:string><json:string>initial drilling</json:string><json:string>simultaneous performance</json:string><json:string>abutment connection</json:string><json:string>tumor surgery</json:string><json:string>surgical defect</json:string><json:string>implant insertion head neck september</json:string><json:string>radiographic evaluation</json:string><json:string>adverse mucosal reactions</json:string><json:string>interforaminal region</json:string><json:string>cumulative dose</json:string><json:string>mandibular height</json:string><json:string>intraoperative view</json:string><json:string>surgical approach</json:string><json:string>median mandibulotomy</json:string><json:string>panoramic radiograph</json:string><json:string>mandibular overdenture</json:string><json:string>clip attachments</json:string><json:string>bone loss</json:string><json:string>mental foramen</json:string><json:string>anterior belly</json:string><json:string>initial implant healing</json:string><json:string>implant surgery</json:string><json:string>pilot drill</json:string><json:string>sensory disturbances</json:string><json:string>wider drills</json:string><json:string>percussion test</json:string><json:string>panoramic radiographs</json:string><json:string>apparent bone loss</json:string><json:string>mandibular implant</json:string><json:string>treatment outcome</json:string><json:string>unilateral hypoesthesia</json:string><json:string>mental nerve</json:string><json:string>treatment planning</json:string><json:string>minor importance</json:string><json:string>early tumor recurrence</json:string><json:string>ablative procedure</json:string><json:string>head neck surg</json:string><json:string>oral maxillofac surg</json:string><json:string>right mandible</json:string></teeft></keywords><author><json:item><name>Pieter J. Schoen MD, DDS</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</json:string><json:string>E-mail: p.j.schoen@kchir.azg.nl</json:string><json:string>Correspondence address: Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</json:string></affiliations></json:item><json:item><name>Gerry M. Raghoebar MD, DDS, PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</json:string></affiliations></json:item><json:item><name>Arjan Vissink MD, DDS, PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</json:string></affiliations></json:item><json:item><name>Jan L. N. Roodenburg DDS, PhD</name><affiliations><json:string>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>mandibulotomy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>head and neck cancer</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>radiation therapy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dental implants</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>edentulous mandible</value></json:item></subject><articleId><json:string>HED10284</json:string></articleId><arkIstex>ark:/67375/WNG-SLJBG49S-T</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>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.</abstract><qualityIndicators><score>5.34</score><pdfWordCount>2824</pdfWordCount><pdfCharCount>17757</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>6</pdfPageCount><pdfPageSize>630 x 810 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>43</abstractWordCount><abstractCharCount>270</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Mandibulotomy and implant insertion</title><pmid><json:string>12953310</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Head & Neck</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1097-0347</json:string></doi><issn><json:string>1043-3074</json:string></issn><eissn><json:string>1097-0347</json:string></eissn><publisherId><json:string>HED</json:string></publisherId><volume>25</volume><issue>9</issue><pages><first>748</first><last>753</last><total>6</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Regular Article</value></json:item></subject></host><namedEntities><unitex><date><json:string>2003</json:string></date><geogName></geogName><orgName><json:string>University Hospital Groningen</json:string><json:string>Wiley Periodicals, Inc</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>P. J. Schoen</json:string><json:string>E. van Ommen</json:string><json:string>P. O. Box</json:string><json:string>L. N. Roodenburg</json:string><json:string>Arjan Vissink</json:string><json:string>Gerry M. Raghoebar</json:string><json:string>Diagram</json:string></persName><placeName><json:string>IL</json:string><json:string>Germany</json:string><json:string>Chicago</json:string><json:string>Sweden</json:string><json:string>Netherlands</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Sangiacomo et al</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-SLJBG49S-T</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - surgery</json:string><json:string>2 - otorhinolaryngology</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></categories><publicationDate>2003</publicationDate><copyrightDate>2003</copyrightDate><doi><json:string>10.1002/hed.10284</json:string></doi><id>7BD51AB62C38653C4684783099C16EB3FA98DB63</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/7BD51AB62C38653C4684783099C16EB3FA98DB63/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/7BD51AB62C38653C4684783099C16EB3FA98DB63/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/7BD51AB62C38653C4684783099C16EB3FA98DB63/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Mandibulotomy and implant insertion</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><licence>Copyright © 2003 Wiley Periodicals, Inc.</licence></availability><date type="published" when="2003-09"></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">Mandibulotomy and implant insertion</title><title level="a" type="short" xml:lang="en">Mandibulotomy and Implant Insertion</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Pieter J.</forename><surname>Schoen</surname><roleName type="degree">MD, DDS</roleName></persName><email>p.j.schoen@kchir.azg.nl</email><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands<address><country key="NL"></country></address></affiliation><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Gerry M.</forename><surname>Raghoebar</surname><roleName type="degree">MD, DDS, PhD</roleName></persName><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands<address><country key="NL"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Arjan</forename><surname>Vissink</surname><roleName type="degree">MD, DDS, PhD</roleName></persName><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands<address><country key="NL"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Jan L. N.</forename><surname>Roodenburg</surname><roleName type="degree">DDS, PhD</roleName></persName><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands<address><country key="NL"></country></address></affiliation></author><idno type="istex">7BD51AB62C38653C4684783099C16EB3FA98DB63</idno><idno type="ark">ark:/67375/WNG-SLJBG49S-T</idno><idno type="DOI">10.1002/hed.10284</idno><idno type="unit">HED10284</idno><idno type="toTypesetVersion">file:HED.HED10284.pdf</idno></analytic><monogr><title level="j" type="main">Head & Neck</title><title level="j" type="alt">HEAD AND NECK</title><idno type="pISSN">1043-3074</idno><idno type="eISSN">1097-0347</idno><idno type="book-DOI">10.1002/(ISSN)1097-0347</idno><idno type="book-part-DOI">10.1002/hed.v25:9</idno><idno type="product">HED</idno><imprint><biblScope unit="vol">25</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="748">748</biblScope><biblScope unit="page" to="753">753</biblScope><biblScope unit="page-count">6</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2003-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
Background.
<p>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.</p>
Methods.
<p>In five edentulous patients such a procedure was performed. The <hi rend="italic">pilot</hi> drilling of the implants was done before performing the mandibulotomy. After tumor resection, reconstruction, and restoration of the continuity of the mandible, the <hi rend="italic">final</hi> 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.</p>
Results.
<p>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 peri‐implant parameters.</p>
Conclusion.
<p>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. © 2003 Wiley Periodicals, Inc. Head Neck 25: 748–753, 2003</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">mandibulotomy</term><term xml:id="kwd2">head and neck cancer</term><term xml:id="kwd3">radiation therapy</term><term xml:id="kwd4">dental implants</term><term xml:id="kwd5">edentulous mandible</term></keywords><keywords rend="articleCategory"><term>Regular Article</term></keywords><keywords rend="tocHeading1"><term>Regular 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/7BD51AB62C38653C4684783099C16EB3FA98DB63/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>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1097-0347</doi><issn type="print">1043-3074</issn><issn type="electronic">1097-0347</issn><idGroup><id type="product" value="HED"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="HEAD AND NECK">Head & Neck</title><title type="subtitle">Journal for the Sciences and Specialties of the Head and Neck</title><title type="short">Head Neck</title></titleGroup></publicationMeta><publicationMeta level="part" position="90"><doi origin="wiley" registered="yes">10.1002/hed.v25:9</doi><numberingGroup><numbering type="journalVolume" number="25">25</numbering><numbering type="journalIssue">9</numbering></numberingGroup><coverDate startDate="2003-09">September 2003</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="50" status="forIssue"><doi origin="wiley" registered="yes">10.1002/hed.10284</doi><idGroup><id type="unit" value="HED10284"></id></idGroup><countGroup><count type="pageTotal" number="6"></count></countGroup><titleGroup><title type="articleCategory">Regular Article</title><title type="tocHeading1">Regular Articles</title></titleGroup><copyright ownership="publisher">Copyright © 2003 Wiley Periodicals, Inc.</copyright><eventGroup><event type="manuscriptAccepted" date="2002-10-28"></event><event type="firstOnline" date="2003-03-20"></event><event type="publishedOnlineFinalForm" date="2003-08-28"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-06"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-27"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst">748</numbering><numbering type="pageLast">753</numbering></numberingGroup><correspondenceTo>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:HED.HED10284.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="1"></count><count type="referenceTotal" number="10"></count><count type="wordTotal" number="2750"></count></countGroup><titleGroup><title type="main" xml:lang="en">Mandibulotomy and implant insertion</title><title type="short" xml:lang="en">Mandibulotomy and Implant Insertion</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Pieter J.</givenNames><familyName>Schoen</familyName><degrees>MD, DDS</degrees></personName><contactDetails><email>p.j.schoen@kchir.azg.nl</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Gerry M.</givenNames><familyName>Raghoebar</familyName><degrees>MD, DDS, PhD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Arjan</givenNames><familyName>Vissink</familyName><degrees>MD, DDS, PhD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Jan L. N.</givenNames><familyName>Roodenburg</familyName><degrees>DDS, PhD</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="NL" type="organization"><unparsedAffiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">mandibulotomy</keyword><keyword xml:id="kwd2">head and neck cancer</keyword><keyword xml:id="kwd3">radiation therapy</keyword><keyword xml:id="kwd4">dental implants</keyword><keyword xml:id="kwd5">edentulous mandible</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Background.</title><p>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.</p></section><section xml:id="abs1-2"><title type="main">Methods.</title><p>In five edentulous patients such a procedure was performed. The <i>pilot</i> drilling of the implants was done before performing the mandibulotomy. After tumor resection, reconstruction, and restoration of the continuity of the mandible, the <i>final</i> 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.</p></section><section xml:id="abs1-3"><title type="main">Results.</title><p>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 peri‐implant parameters.</p></section><section xml:id="abs1-4"><title type="main">Conclusion.</title><p>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. © 2003 Wiley Periodicals, Inc. Head Neck 25: 748–753, 2003</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Mandibulotomy and implant insertion</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Mandibulotomy and Implant Insertion</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Mandibulotomy and implant insertion</title></titleInfo><name type="personal"><namePart type="given">Pieter J.</namePart><namePart type="family">Schoen</namePart><namePart type="termsOfAddress">MD, DDS</namePart><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</affiliation><affiliation>E-mail: p.j.schoen@kchir.azg.nl</affiliation><affiliation>Correspondence address: Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gerry M.</namePart><namePart type="family">Raghoebar</namePart><namePart type="termsOfAddress">MD, DDS, PhD</namePart><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Arjan</namePart><namePart type="family">Vissink</namePart><namePart type="termsOfAddress">MD, DDS, PhD</namePart><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jan L. N.</namePart><namePart type="family">Roodenburg</namePart><namePart type="termsOfAddress">DDS, PhD</namePart><affiliation>Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics, University Hospital Groningen, P. O. Box 30.001, 9700 RB Groningen, 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>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2003-09</dateIssued><dateValid encoding="w3cdtf">2002-10-28</dateValid><copyrightDate encoding="w3cdtf">2003</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">2</extent><extent unit="tables">1</extent><extent unit="references">10</extent><extent unit="words">2750</extent></physicalDescription><abstract>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.</abstract><abstract>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.</abstract><abstract>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 peri‐implant parameters.</abstract><abstract>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. © 2003 Wiley Periodicals, Inc. 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