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Benefits of dental implants installed during ablative tumour surgery in oral cancer patients: a prospective 5‐year clinical trial

Identifieur interne : 005261 ( Istex/Corpus ); précédent : 005260; suivant : 005262

Benefits of dental implants installed during ablative tumour surgery in oral cancer patients: a prospective 5‐year clinical trial

Auteurs : Anke Korfage ; Pieter J. Schoen ; Gerry M. Raghoebar ; Jan L. N. Roodenburg ; Arjan Vissink ; Harry Reintsema

Source :

RBID : ISTEX:A4F60800B35D973DF92DB3A208DDB86CB797E871

English descriptors

Abstract

Objective: This prospective study assessed treatment outcome and patient satisfaction of oral cancer patients with a mandibular overdenture on implants up to 5 years after treatment.

Url:
DOI: 10.1111/j.1600-0501.2010.01930.x

Links to Exploration step

ISTEX:A4F60800B35D973DF92DB3A208DDB86CB797E871

Le document en format XML

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<div type="abstract">Objective: This prospective study assessed treatment outcome and patient satisfaction of oral cancer patients with a mandibular overdenture on implants up to 5 years after treatment.</div>
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<hi rend="bold">Objective: </hi>
This prospective study assessed treatment outcome and patient satisfaction of oral cancer patients with a mandibular overdenture on implants up to 5 years after treatment.</p>
<p>
<hi rend="bold">Materials and methods: </hi>
At baseline, 50 consecutive edentulous oral cancer patients, in whom prosthetic problems were expected after oncological treatment, were evaluated by standardized questionnaires and clinical assessments. All implants were installed during ablative tumour surgery in native bone in the interforaminal area. About two‐thirds of the patients (
<hi rend="italic">n</hi>
=31) had radiotherapy post‐surgery (dose >40 Gy in the interforaminal area).</p>
<p>
<hi rend="bold">Results: </hi>
At the 5‐year evaluation, 26 patients had passed away and four patients had to be excluded from the analyses, because superstructures were not present, due to persistent local irritation (
<hi rend="italic">n</hi>
=2), loss of three implants (
<hi rend="italic">n</hi>
=1) and the impossibility of making an overdenture related to tumour and oncological surgery‐driven anatomical limitations (
<hi rend="italic">n</hi>
=1). In the remaining 20 patients, the prosthesis was still in function (76 implants). During the 5‐year follow‐up, total 14 implants were lost, 13 in irradiated bone (survival rate 89.4%, dose >40 Gy) and one in non‐irradiated bone (survival rate 98.6%). Peri‐implant tissues had a healthy appearance and remained healthy over time. Patients were satisfied with their dentures.</p>
<p>
<hi rend="bold">Conclusions: </hi>
It was concluded that oral cancer patients can benefit from implants installed during ablative surgery, with a high survival rate of the implants, a high percentage of rehabilitated patients and a high denture satisfaction up to 5 years after treatment.</p>
<p>
<hi rend="bold">To cite this article:</hi>

Korfage A, Schoen PJ, Raghoebar GM, Roodenburg JLN, Vissink A, Reintsema H. Benefits of dental implants installed during ablative tumour surgery in oral cancer patients: a prospective 5‐year clinical trial.

<hi rend="italic">Clin. Oral Impl. Res</hi>
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<hi rend="bold">21</hi>
, 2010; 971–979.
doi: 10.1111/j.1600‐0501.2010.01930.x</p>
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<i>Harry Reintsema</i>

Department of Oral and Maxillofacial Surgery and Maxillofacial Prosthetics
University Medical Center Groningen
University of Groningen
PO Box 30.001 – BB70
9700 RB Groningen
The Netherlands
Tel.: +31 50 3613840
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<p>Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.</p>
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<p>
<b>Objective: </b>
This prospective study assessed treatment outcome and patient satisfaction of oral cancer patients with a mandibular overdenture on implants up to 5 years after treatment.</p>
<p>
<b>Materials and methods: </b>
At baseline, 50 consecutive edentulous oral cancer patients, in whom prosthetic problems were expected after oncological treatment, were evaluated by standardized questionnaires and clinical assessments. All implants were installed during ablative tumour surgery in native bone in the interforaminal area. About two‐thirds of the patients (
<i>n</i>
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<p>
<b>Results: </b>
At the 5‐year evaluation, 26 patients had passed away and four patients had to be excluded from the analyses, because superstructures were not present, due to persistent local irritation (
<i>n</i>
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<i>n</i>
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<p>
<b>Conclusions: </b>
It was concluded that oral cancer patients can benefit from implants installed during ablative surgery, with a high survival rate of the implants, a high percentage of rehabilitated patients and a high denture satisfaction up to 5 years after treatment.</p>
<p>
<b>To cite this article:</b>

Korfage A, Schoen PJ, Raghoebar GM, Roodenburg JLN, Vissink A, Reintsema H. Benefits of dental implants installed during ablative tumour surgery in oral cancer patients: a prospective 5‐year clinical trial.

<i>Clin. Oral Impl. Res</i>
.
<b>21</b>
, 2010; 971–979.
doi: 10.1111/j.1600‐0501.2010.01930.x</p>
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<abstract>Objective: This prospective study assessed treatment outcome and patient satisfaction of oral cancer patients with a mandibular overdenture on implants up to 5 years after treatment.</abstract>
<abstract>Materials and methods: At baseline, 50 consecutive edentulous oral cancer patients, in whom prosthetic problems were expected after oncological treatment, were evaluated by standardized questionnaires and clinical assessments. All implants were installed during ablative tumour surgery in native bone in the interforaminal area. About two‐thirds of the patients (n=31) had radiotherapy post‐surgery (dose >40 Gy in the interforaminal area).</abstract>
<abstract>Results: At the 5‐year evaluation, 26 patients had passed away and four patients had to be excluded from the analyses, because superstructures were not present, due to persistent local irritation (n=2), loss of three implants (n=1) and the impossibility of making an overdenture related to tumour and oncological surgery‐driven anatomical limitations (n=1). In the remaining 20 patients, the prosthesis was still in function (76 implants). During the 5‐year follow‐up, total 14 implants were lost, 13 in irradiated bone (survival rate 89.4%, dose >40 Gy) and one in non‐irradiated bone (survival rate 98.6%). Peri‐implant tissues had a healthy appearance and remained healthy over time. Patients were satisfied with their dentures.</abstract>
<abstract>Conclusions: It was concluded that oral cancer patients can benefit from implants installed during ablative surgery, with a high survival rate of the implants, a high percentage of rehabilitated patients and a high denture satisfaction up to 5 years after treatment.</abstract>
<abstract>To cite this article: 
Korfage A, Schoen PJ, Raghoebar GM, Roodenburg JLN, Vissink A, Reintsema H. Benefits of dental implants installed during ablative tumour surgery in oral cancer patients: a prospective 5‐year clinical trial.
Clin. Oral Impl. Res. 21, 2010; 971–979.
doi: 10.1111/j.1600‐0501.2010.01930.x</abstract>
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<topic>edentulous mandible</topic>
<topic>endosseous implants</topic>
<topic>head and neck neoplasms</topic>
<topic>patients' satisfaction</topic>
<topic>prosthodontics</topic>
</subject>
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<title>Clinical Oral Implants Research</title>
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<note type="content"> Table S1. Supporting information in accordance with the CONSORT Statement 2001 checklist used in reporting randomized trials. Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article. Table S1. Supporting information in accordance with the CONSORT Statement 2001 checklist used in reporting randomized trials. Please note: Wiley‐Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.Supporting Info Item: Supporting info item - </note>
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<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
<identifier type="PublisherID">CLR</identifier>
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<detail type="volume">
<caption>vol.</caption>
<number>21</number>
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<detail type="issue">
<caption>no.</caption>
<number>9</number>
</detail>
<extent unit="pages">
<start>971</start>
<end>979</end>
<total>9</total>
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<identifier type="DOI">10.1111/j.1600-0501.2010.01930.x</identifier>
<identifier type="ArticleID">CLR1930</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2010 John Wiley & Sons A/S</accessCondition>
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