Postoperative irradiation after implant placement: A pilot study for prosthetic reconstruction
Identifieur interne : 000600 ( Main/Curation ); précédent : 000599; suivant : 000601Postoperative irradiation after implant placement: A pilot study for prosthetic reconstruction
Auteurs : Re-Mee Doh [Corée du Sud] ; Sungtae Kim [Corée du Sud] ; Ki Chang Keum [Corée du Sud] ; Jun Won Kim [Corée du Sud] ; June-Sung Shim [Corée du Sud] ; Han-Sung Jung [Corée du Sud] ; Kyeong-Mee Park [Corée du Sud] ; Moon-Kyu Chung [Corée du Sud]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2016.
Abstract
On maxillofacial tumor patients, oral implant placement prior to postoperative radiotherapy can shorten the period of prosthetic reconstruction. There is still lack of research on effects of post-implant radiotherapy such as healing process or loading time, which is important for prosthodontic treatment planning. Therefore, this study evaluated the effects of post-implant local irradiation on the osseointegration of implants during different healing stages.
Custom-made implants were placed bilaterally on maxillary posterior edentulous area 4 weeks after extraction of the maxillary first molars in Forty-eight Sprague-Dawley rats. Experimental group (exp.) received radiation after implant surgery and the other group (control) didn't. Each group was divided into three sub-groups according to the healing time (2, 4, and 8 week) from implant placement. The exp. group 1, 2 received 15-Gy radiation 1 day after implant placement (immediate irradiation). The exp. group 3 received 15-Gy radiation 4 weeks after implant placement (delayed irradiation).
The bone mineral density (BMD) was significantly lower in the immediate irradiation groups. BMD was similar in the delayed irradiation group and the control group. The irradiated groups exhibited a lower bone-to-implant contact ratio, although the difference was not statistically significant. The irradiated groups also exhibited a significantly lower bone volume and higher empty lacuna count than the control groups. No implant failure due to local irradiation was found in this study.
Within the limits of this study, the timing of local irradiation critically influences the bone healing mechanism, which is related to loading time of prostheses.
Url:
DOI: 10.4047/jap.2016.8.5.363
PubMed: 27826386
PubMed Central: 5099128
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PMC:5099128Le document en format XML
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<author><name sortKey="Chung, Moon Kyu" sort="Chung, Moon Kyu" uniqKey="Chung M" first="Moon-Kyu" last="Chung">Moon-Kyu Chung</name>
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<front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title>
<p>On maxillofacial tumor patients, oral implant placement prior to postoperative radiotherapy can shorten the period of prosthetic reconstruction. There is still lack of research on effects of post-implant radiotherapy such as healing process or loading time, which is important for prosthodontic treatment planning. Therefore, this study evaluated the effects of post-implant local irradiation on the osseointegration of implants during different healing stages.</p>
</sec>
<sec><title>MATERIALS AND METHODS</title>
<p>Custom-made implants were placed bilaterally on maxillary posterior edentulous area 4 weeks after extraction of the maxillary first molars in Forty-eight Sprague-Dawley rats. Experimental group (exp.) received radiation after implant surgery and the other group (control) didn't. Each group was divided into three sub-groups according to the healing time (2, 4, and 8 week) from implant placement. The exp. group 1, 2 received 15-Gy radiation 1 day after implant placement (immediate irradiation). The exp. group 3 received 15-Gy radiation 4 weeks after implant placement (delayed irradiation).</p>
</sec>
<sec><title>RESULTS</title>
<p>The bone mineral density (BMD) was significantly lower in the immediate irradiation groups. BMD was similar in the delayed irradiation group and the control group. The irradiated groups exhibited a lower bone-to-implant contact ratio, although the difference was not statistically significant. The irradiated groups also exhibited a significantly lower bone volume and higher empty lacuna count than the control groups. No implant failure due to local irradiation was found in this study.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>Within the limits of this study, the timing of local irradiation critically influences the bone healing mechanism, which is related to loading time of prostheses.</p>
</sec>
</div>
</front>
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