The effect of radiotherapy on survival of dental implants in head and neck cancer patients
Identifieur interne : 000458 ( Main/Exploration ); précédent : 000457; suivant : 000459The effect of radiotherapy on survival of dental implants in head and neck cancer patients
Auteurs : Bassam Shugaa-Addin ; Hashem-Motahir Al-Shamiri ; Sadeq Al-Maweri ; Bassel TarakjiSource :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2016.
Abstract
To explore the current literature of the survival of dental implants in irradiated head and neck cancer patients considering the role of implant location, bone augmentation, dose of radiation and timing of implant placement.
Pubmed search was conducted to identify articles published between January 2000 and December 2014 and presenting data of dental implant survival with radiotherapy in head and neck cancer patients. Studies on animal subjects and craniofacial implants were excluded.
18 articles out of 27 were eligible for inclusion in this systematic review. 12 out of 18 studies reported favorable outcome of dental implants and radiotherapy with survival rates between 74.4% and 97%. Seven out of ten studies comparing the survival rates according to site of implant placement reported that implants were found to osseointegrate with greater success in the irradiated mandible than irradiated maxilla. 5 studies which compared implant survival in irradiated native bone versus irradiated grafted bone reported that irradiated grafted bone showed a significantly reduced dental implant survival rate in comparison to irradiated native bone. 6 out of 18studies in which radiation doses exceeded 70 Gy reported lower survival rates of dental implants in comparison to the studies in which radiation doses were ≤70Gy. Higher survival rates were reported in 2 studies in which implants placement was before radiotherapy in comparison to the remaining 16 studies in which implants placement was after radiotherapy.
Dental implants may be affected by radiotherapy especially when they are placed in maxilla, in grafted bone, or after radiation, however, they remain a functional option for rehabilitation of head and cancer patients. More Prospective cohort studies and randomized controlled trails are still needed to draw more evidence based conclusions.
Url:
DOI: 10.4317/jced.52346
PubMed: 27034761
PubMed Central: 4808316
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The effect of radiotherapy on survival of dental
implants in head and neck cancer patients</title><author><name sortKey="Shugaa Addin, Bassam" sort="Shugaa Addin, Bassam" uniqKey="Shugaa Addin B" first="Bassam" last="Shugaa-Addin">Bassam Shugaa-Addin</name><affiliation><nlm:aff id="A1">Department of Oral Maxillofacial Sciences, Al-Farabi Colleges, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author><author><name sortKey="Al Shamiri, Hashem Motahir" sort="Al Shamiri, Hashem Motahir" uniqKey="Al Shamiri H" first="Hashem-Motahir" last="Al-Shamiri">Hashem-Motahir Al-Shamiri</name><affiliation><nlm:aff id="A1">Department of Oral Maxillofacial Sciences, Al-Farabi Colleges, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author><author><name sortKey="Al Maweri, Sadeq" sort="Al Maweri, Sadeq" uniqKey="Al Maweri S" first="Sadeq" last="Al-Maweri">Sadeq Al-Maweri</name><affiliation><nlm:aff id="A1">Department of Oral Maxillofacial Sciences, Al-Farabi Colleges, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author><author><name sortKey="Tarakji, Bassel" sort="Tarakji, Bassel" uniqKey="Tarakji B" first="Bassel" last="Tarakji">Bassel Tarakji</name><affiliation><nlm:aff id="A1">Department of Oral Maxillofacial Sciences, Al-Farabi Colleges, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27034761</idno><idno type="pmc">4808316</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808316</idno><idno type="RBID">PMC:4808316</idno><idno type="doi">10.4317/jced.52346</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000800</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000800</idno><idno type="wicri:Area/Pmc/Curation">000800</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000800</idno><idno type="wicri:Area/Pmc/Checkpoint">000407</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000407</idno><idno type="wicri:Area/Ncbi/Merge">006580</idno><idno type="wicri:Area/Ncbi/Curation">006580</idno><idno type="wicri:Area/Ncbi/Checkpoint">006580</idno><idno type="wicri:Area/Main/Merge">000458</idno><idno type="wicri:Area/Main/Curation">000458</idno><idno type="wicri:Area/Main/Exploration">000458</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The effect of radiotherapy on survival of dental
implants in head and neck cancer patients</title><author><name sortKey="Shugaa Addin, Bassam" sort="Shugaa Addin, Bassam" uniqKey="Shugaa Addin B" first="Bassam" last="Shugaa-Addin">Bassam Shugaa-Addin</name><affiliation><nlm:aff id="A1">Department of Oral Maxillofacial Sciences, Al-Farabi Colleges, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author><author><name sortKey="Al Shamiri, Hashem Motahir" sort="Al Shamiri, Hashem Motahir" uniqKey="Al Shamiri H" first="Hashem-Motahir" last="Al-Shamiri">Hashem-Motahir Al-Shamiri</name><affiliation><nlm:aff id="A1">Department of Oral Maxillofacial Sciences, Al-Farabi Colleges, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author><author><name sortKey="Al Maweri, Sadeq" sort="Al Maweri, Sadeq" uniqKey="Al Maweri S" first="Sadeq" last="Al-Maweri">Sadeq Al-Maweri</name><affiliation><nlm:aff id="A1">Department of Oral Maxillofacial Sciences, Al-Farabi Colleges, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author><author><name sortKey="Tarakji, Bassel" sort="Tarakji, Bassel" uniqKey="Tarakji B" first="Bassel" last="Tarakji">Bassel Tarakji</name><affiliation><nlm:aff id="A1">Department of Oral Maxillofacial Sciences, Al-Farabi Colleges, Riyadh</nlm:aff><wicri:noCountry code="subfield">Riyadh</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of Clinical and Experimental Dentistry</title><idno type="eISSN">1989-5488</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>To explore the current literature of the survival of dental implants in irradiated head and neck cancer patients considering the role of implant location, bone augmentation, dose of radiation and timing of implant placement.</p></sec><sec><title>Study Design</title><p>Pubmed search was conducted to identify articles published between January 2000 and December 2014 and presenting data of dental implant survival with radiotherapy in head and neck cancer patients. Studies on animal subjects and craniofacial implants were excluded.</p></sec><sec><title>Results</title><p>18 articles out of 27 were eligible for inclusion in this systematic review. 12 out of 18 studies reported favorable outcome of dental implants and radiotherapy with survival rates between 74.4% and 97%. Seven out of ten studies comparing the survival rates according to site of implant placement reported that implants were found to osseointegrate with greater success in the irradiated mandible than irradiated maxilla. 5 studies which compared implant survival in irradiated native bone versus irradiated grafted bone reported that irradiated grafted bone showed a significantly reduced dental implant survival rate in comparison to irradiated native bone. 6 out of 18studies in which radiation doses exceeded 70 Gy reported lower survival rates of dental implants in comparison to the studies in which radiation doses were ≤70Gy. Higher survival rates were reported in 2 studies in which implants placement was before radiotherapy in comparison to the remaining 16 studies in which implants placement was after radiotherapy.</p></sec><sec><title>Conclusions</title><p>Dental implants may be affected by radiotherapy especially when they are placed in maxilla, in grafted bone, or after radiation, however, they remain a functional option for rehabilitation of head and cancer patients. More Prospective cohort studies and randomized controlled trails are still needed to draw more evidence based conclusions.</p><p><bold> Key words:</bold>Dental implants, implant survival, radiotherapy, head and neck cancer.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author><author><name sortKey="Bray, F" uniqKey="Bray F">F Bray</name></author><author><name sortKey="Center, Mm" uniqKey="Center M">MM Center</name></author><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Ward, E" uniqKey="Ward E">E Ward</name></author><author><name sortKey="Forman, D" uniqKey="Forman D">D Forman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jemal, A" uniqKey="Jemal A">A Jemal</name></author><author><name sortKey="Murray, T" uniqKey="Murray T">T Murray</name></author><author><name sortKey="Ward, E" 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H">H Reintsema</name></author><author><name sortKey="Burlage, Fr" uniqKey="Burlage F">FR Burlage</name></author><author><name sortKey="Roodenburg, Jl" uniqKey="Roodenburg J">JL Roodenburg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fletcher Stark, Ml" uniqKey="Fletcher Stark M">ML Fletcher-Stark</name></author><author><name sortKey="Rubenstein, Je" uniqKey="Rubenstein J">JE Rubenstein</name></author><author><name sortKey="Raigrodski, Aj" uniqKey="Raigrodski A">AJ Raigrodski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dholam, Kp" uniqKey="Dholam K">KP Dholam</name></author><author><name sortKey="Gurav, Sv" uniqKey="Gurav S">SV Gurav</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anderson, L" uniqKey="Anderson L">L Anderson</name></author><author><name sortKey="Meraw, S" uniqKey="Meraw S">S Meraw</name></author><author><name sortKey="Al Hezaimi, K" uniqKey="Al Hezaimi K">K Al-Hezaimi</name></author><author><name sortKey="Wang, Hl" uniqKey="Wang H">HL Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Claudy, Mp" uniqKey="Claudy M">MP Claudy</name></author><author><name sortKey="Miguens, Sa Jr" uniqKey="Miguens S">SA Jr Miguens</name></author><author><name sortKey="Celeste, Rk" uniqKey="Celeste R">RK Celeste</name></author><author><name sortKey="Camara Parente, R" uniqKey="Camara Parente R">R Camara Parente</name></author><author><name sortKey="Hernandez, Pa" uniqKey="Hernandez P">PA Hernandez</name></author><author><name sortKey="Da Silva, An Jr" uniqKey="Da Silva A">AN Jr da Silva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Granstrom, G" uniqKey="Granstrom G">G Granstrom</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Al Maweri, Sadeq" sort="Al Maweri, Sadeq" uniqKey="Al Maweri S" first="Sadeq" last="Al-Maweri">Sadeq Al-Maweri</name><name sortKey="Al Shamiri, Hashem Motahir" sort="Al Shamiri, Hashem Motahir" uniqKey="Al Shamiri H" first="Hashem-Motahir" last="Al-Shamiri">Hashem-Motahir Al-Shamiri</name><name sortKey="Shugaa Addin, Bassam" sort="Shugaa Addin, Bassam" uniqKey="Shugaa Addin B" first="Bassam" last="Shugaa-Addin">Bassam Shugaa-Addin</name><name sortKey="Tarakji, Bassel" sort="Tarakji, Bassel" uniqKey="Tarakji B" first="Bassel" last="Tarakji">Bassel Tarakji</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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