Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients
Identifieur interne : 004235 ( Istex/Curation ); précédent : 004234; suivant : 004236Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients
Auteurs : Takako Imai Tanaka [États-Unis] ; Hsun-Liang Chan ; David Ira Tindle ; Mark Maceachern ; Tae-Ju OhSource :
- Journal of Prosthodontics [ 1059-941X ] ; 2013-08.
English descriptors
- KwdEn :
- Ablative tumour surgery, Adverse effects, American college, Attachment loss, Cancer patients, Cancer treatment, Clin, Clinical considerations, Clinical evaluation, Clinical guidelines, Clinical report, Conventional dentures, Craniofac surg, Craniofacial implants, Dent, Dent assoc, Dental implant therapy, Dental implants, Denture, Dos, Early loss, Experimental study, Fragile mucosa, Head neck, Hyperbaric, Hyperbaric oxygen, Hyperbaric oxygen therapy, Implant, Implant location, Implant osseointegration, Implant placement, Implant site, Implant success, Implant survival, Implant therapy, Mandible, Mandibular, Mandibular resection, Maxillofac, Neck cancer, Neck cancer patients, Neck cancers, Neck patients, Neck radiation therapy, Neck region, Negative effects, Oral cancer, Oral cancer patients, Oral dryness, Oral function, Oral health, Oral health status, Oral maxillofac implants, Oral maxillofac surg, Oral oncol, Oral pathol, Oral rehabil, Oral rehabilitation, Oral surg, Osseointegrated implants, Osseointegration, Osteoradionecrosis, Paper reviews, Primary placement, Primary tumor site, Prosthet dent, Prosthetic, Prosthetic failure implants, Prosthetic success, Prosthodontics, Prosthodontist, Prosthodontists tanaka, Radiation dose, Radiation therapy, Radiol endod, Radiotherapy, Retrospective, Risk factors, Secondary placement, Several studies, Similar results, Success rate, Surg, Survival rate, Survival rates, Systematic review, Tanaka, Therapy, Tooth extraction, Treatment outcomes, Tumor surgery, Tumor therapy, Viable option.
- Teeft :
- Ablative tumour surgery, Adverse effects, American college, Attachment loss, Cancer patients, Cancer treatment, Clin, Clinical considerations, Clinical evaluation, Clinical guidelines, Clinical report, Conventional dentures, Craniofac surg, Craniofacial implants, Dent, Dent assoc, Dental implant therapy, Dental implants, Denture, Dos, Early loss, Experimental study, Fragile mucosa, Head neck, Hyperbaric, Hyperbaric oxygen, Hyperbaric oxygen therapy, Implant, Implant location, Implant osseointegration, Implant placement, Implant site, Implant success, Implant survival, Implant therapy, Mandible, Mandibular, Mandibular resection, Maxillofac, Neck cancer, Neck cancer patients, Neck cancers, Neck patients, Neck radiation therapy, Neck region, Negative effects, Oral cancer, Oral cancer patients, Oral dryness, Oral function, Oral health, Oral health status, Oral maxillofac implants, Oral maxillofac surg, Oral oncol, Oral pathol, Oral rehabil, Oral rehabilitation, Oral surg, Osseointegrated implants, Osseointegration, Osteoradionecrosis, Paper reviews, Primary placement, Primary tumor site, Prosthet dent, Prosthetic, Prosthetic failure implants, Prosthetic success, Prosthodontics, Prosthodontist, Prosthodontists tanaka, Radiation dose, Radiation therapy, Radiol endod, Radiotherapy, Retrospective, Risk factors, Secondary placement, Several studies, Similar results, Success rate, Surg, Survival rate, Survival rates, Systematic review, Tanaka, Therapy, Tooth extraction, Treatment outcomes, Tumor surgery, Tumor therapy, Viable option.
Abstract
An increasing number of reports indicate successful use of dental implants (DI) during oral rehabilitation for head and neck cancer patients undergoing tumor surgery and radiation therapy. Implant‐supported dentures are a viable option when patients cannot use conventional dentures due to adverse effects of radiation therapy, including oral dryness or fragile mucosa, in addition to compromised anatomy; however, negative effects of radiation, including osteoradionecrosis, are well documented in the literature, and early loss of implants in irradiated bone has been reported. There is currently no consensus concerning DI safety or clinical guidelines for their use in irradiated head and neck cancer patients. It is important for health care professionals to be aware of the multidimensional risk factors for these patients when planning oral rehabilitation with DIs, and to provide optimal treatment options and maximize the overall treatment outcome. This paper reviews and updates the impact of radiotherapy on DI survival and discusses clinical considerations for DI therapy in irradiated head and neck cancer patients.
Url:
DOI: 10.1111/jopr.12028
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Hsun-Liang Chan<affiliation><mods:affiliation>Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, MI, Ann Arbor</mods:affiliation>
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<affiliation><mods:affiliation>A. Alfred Taubman Health Sciences Library, University of Michigan, MI, Ann Arbor</mods:affiliation>
<wicri:noCountry code="subField">Arbor</wicri:noCountry>
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<affiliation><mods:affiliation>Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, MI, Ann Arbor</mods:affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Ablative tumour surgery</term>
<term>Adverse effects</term>
<term>American college</term>
<term>Attachment loss</term>
<term>Cancer patients</term>
<term>Cancer treatment</term>
<term>Clin</term>
<term>Clinical considerations</term>
<term>Clinical evaluation</term>
<term>Clinical guidelines</term>
<term>Clinical report</term>
<term>Conventional dentures</term>
<term>Craniofac surg</term>
<term>Craniofacial implants</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental implant therapy</term>
<term>Dental implants</term>
<term>Denture</term>
<term>Dos</term>
<term>Early loss</term>
<term>Experimental study</term>
<term>Fragile mucosa</term>
<term>Head neck</term>
<term>Hyperbaric</term>
<term>Hyperbaric oxygen</term>
<term>Hyperbaric oxygen therapy</term>
<term>Implant</term>
<term>Implant location</term>
<term>Implant osseointegration</term>
<term>Implant placement</term>
<term>Implant site</term>
<term>Implant success</term>
<term>Implant survival</term>
<term>Implant therapy</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular resection</term>
<term>Maxillofac</term>
<term>Neck cancer</term>
<term>Neck cancer patients</term>
<term>Neck cancers</term>
<term>Neck patients</term>
<term>Neck radiation therapy</term>
<term>Neck region</term>
<term>Negative effects</term>
<term>Oral cancer</term>
<term>Oral cancer patients</term>
<term>Oral dryness</term>
<term>Oral function</term>
<term>Oral health</term>
<term>Oral health status</term>
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<term>Oral maxillofac surg</term>
<term>Oral oncol</term>
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<term>Paper reviews</term>
<term>Primary placement</term>
<term>Primary tumor site</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic failure implants</term>
<term>Prosthetic success</term>
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<term>Prosthodontist</term>
<term>Prosthodontists tanaka</term>
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<term>Radiation therapy</term>
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<term>Risk factors</term>
<term>Secondary placement</term>
<term>Several studies</term>
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<term>Success rate</term>
<term>Surg</term>
<term>Survival rate</term>
<term>Survival rates</term>
<term>Systematic review</term>
<term>Tanaka</term>
<term>Therapy</term>
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<term>Adverse effects</term>
<term>American college</term>
<term>Attachment loss</term>
<term>Cancer patients</term>
<term>Cancer treatment</term>
<term>Clin</term>
<term>Clinical considerations</term>
<term>Clinical evaluation</term>
<term>Clinical guidelines</term>
<term>Clinical report</term>
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<term>Craniofac surg</term>
<term>Craniofacial implants</term>
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<term>Dental implant therapy</term>
<term>Dental implants</term>
<term>Denture</term>
<term>Dos</term>
<term>Early loss</term>
<term>Experimental study</term>
<term>Fragile mucosa</term>
<term>Head neck</term>
<term>Hyperbaric</term>
<term>Hyperbaric oxygen</term>
<term>Hyperbaric oxygen therapy</term>
<term>Implant</term>
<term>Implant location</term>
<term>Implant osseointegration</term>
<term>Implant placement</term>
<term>Implant site</term>
<term>Implant success</term>
<term>Implant survival</term>
<term>Implant therapy</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular resection</term>
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<term>Neck cancer</term>
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<term>Oral cancer</term>
<term>Oral cancer patients</term>
<term>Oral dryness</term>
<term>Oral function</term>
<term>Oral health</term>
<term>Oral health status</term>
<term>Oral maxillofac implants</term>
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<term>Osseointegration</term>
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<term>Paper reviews</term>
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<term>Primary tumor site</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic failure implants</term>
<term>Prosthetic success</term>
<term>Prosthodontics</term>
<term>Prosthodontist</term>
<term>Prosthodontists tanaka</term>
<term>Radiation dose</term>
<term>Radiation therapy</term>
<term>Radiol endod</term>
<term>Radiotherapy</term>
<term>Retrospective</term>
<term>Risk factors</term>
<term>Secondary placement</term>
<term>Several studies</term>
<term>Similar results</term>
<term>Success rate</term>
<term>Surg</term>
<term>Survival rate</term>
<term>Survival rates</term>
<term>Systematic review</term>
<term>Tanaka</term>
<term>Therapy</term>
<term>Tooth extraction</term>
<term>Treatment outcomes</term>
<term>Tumor surgery</term>
<term>Tumor therapy</term>
<term>Viable option</term>
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<front><div type="abstract">An increasing number of reports indicate successful use of dental implants (DI) during oral rehabilitation for head and neck cancer patients undergoing tumor surgery and radiation therapy. Implant‐supported dentures are a viable option when patients cannot use conventional dentures due to adverse effects of radiation therapy, including oral dryness or fragile mucosa, in addition to compromised anatomy; however, negative effects of radiation, including osteoradionecrosis, are well documented in the literature, and early loss of implants in irradiated bone has been reported. There is currently no consensus concerning DI safety or clinical guidelines for their use in irradiated head and neck cancer patients. It is important for health care professionals to be aware of the multidimensional risk factors for these patients when planning oral rehabilitation with DIs, and to provide optimal treatment options and maximize the overall treatment outcome. This paper reviews and updates the impact of radiotherapy on DI survival and discusses clinical considerations for DI therapy in irradiated head and neck cancer patients.</div>
</front>
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