Postoperative irradiation after implant placement: A pilot study for prosthetic reconstruction
Identifieur interne : 000600 ( Main/Exploration ); 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
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Postoperative irradiation after implant placement: A pilot study for prosthetic reconstruction</title><author><name sortKey="Doh, Re Mee" sort="Doh, Re Mee" uniqKey="Doh R" first="Re-Mee" last="Doh">Re-Mee Doh</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Advanced General Dentistry, Dankook University College of Dentistry, Cheonan, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, Dankook University College of Dentistry, Cheonan</wicri:regionArea><wicri:noRegion>Cheonan</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Sungtae" sort="Kim, Sungtae" uniqKey="Kim S" first="Sungtae" last="Kim">Sungtae Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Periodontology, Dental Research Institute, Seoul National University School of Dentistry, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Dental Research Institute, Seoul National University School of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Keum, Ki Chang" sort="Keum, Ki Chang" uniqKey="Keum K" first="Ki Chang" last="Keum">Ki Chang Keum</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Radiation Oncology, Yonsei University College of Medicine, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Radiation Oncology, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Jun Won" sort="Kim, Jun Won" uniqKey="Kim J" first="Jun Won" last="Kim">Jun Won Kim</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Radiation Oncology, Yonsei University College of Medicine, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Radiation Oncology, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Shim, June Sung" sort="Shim, June Sung" uniqKey="Shim J" first="June-Sung" last="Shim">June-Sung Shim</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Prosthodontics, Yonsei University College of Dentistry, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Yonsei University 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Park</name><affiliation wicri:level="3"><nlm:aff id="A6">Department of Advanced General Dentistry, Yonsei University College of Dentistry, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chung, Moon Kyu" sort="Chung, Moon Kyu" uniqKey="Chung M" first="Moon-Kyu" last="Chung">Moon-Kyu Chung</name><affiliation wicri:level="3"><nlm:aff id="A5">Division in Anatomy and Development Biology, Department of Oral Biology, Yonsei University College of Dentistry, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division in Anatomy and Development Biology, Department of Oral Biology, Yonsei 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Cheonan</wicri:regionArea><wicri:noRegion>Cheonan</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Sungtae" sort="Kim, Sungtae" uniqKey="Kim S" first="Sungtae" last="Kim">Sungtae Kim</name><affiliation wicri:level="3"><nlm:aff id="A2">Department of Periodontology, Dental Research Institute, Seoul National University School of Dentistry, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Dental Research Institute, Seoul National University School of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Keum, Ki Chang" sort="Keum, Ki Chang" uniqKey="Keum K" first="Ki Chang" last="Keum">Ki Chang Keum</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Radiation Oncology, Yonsei University College of Medicine, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Radiation Oncology, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Jun Won" sort="Kim, Jun Won" uniqKey="Kim J" first="Jun Won" last="Kim">Jun Won Kim</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Radiation Oncology, Yonsei University College of Medicine, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Radiation Oncology, Yonsei University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Shim, June Sung" sort="Shim, June Sung" uniqKey="Shim J" first="June-Sung" last="Shim">June-Sung Shim</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Prosthodontics, Yonsei University College of Dentistry, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jung, Han Sung" sort="Jung, Han Sung" uniqKey="Jung H" first="Han-Sung" last="Jung">Han-Sung Jung</name><affiliation wicri:level="3"><nlm:aff id="A5">Division in Anatomy and Development Biology, Department of Oral Biology, Yonsei University College of Dentistry, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division in Anatomy and Development Biology, Department of Oral Biology, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Kyeong Mee" sort="Park, Kyeong Mee" uniqKey="Park K" first="Kyeong-Mee" last="Park">Kyeong-Mee Park</name><affiliation wicri:level="3"><nlm:aff id="A6">Department of Advanced General Dentistry, Yonsei University College of Dentistry, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Advanced General Dentistry, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chung, Moon Kyu" sort="Chung, Moon Kyu" uniqKey="Chung M" first="Moon-Kyu" last="Chung">Moon-Kyu Chung</name><affiliation wicri:level="3"><nlm:aff id="A5">Division in Anatomy and Development Biology, Department of Oral Biology, Yonsei University College of Dentistry, Seoul, Republic of Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division in Anatomy and Development Biology, Department of Oral Biology, Yonsei University College of Dentistry, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">The Journal of Advanced Prosthodontics</title><idno type="ISSN">2005-7806</idno><idno type="eISSN">2005-7814</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>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><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Schepers, Rh" uniqKey="Schepers R">RH Schepers</name></author><author><name sortKey="Slagter, Ap" uniqKey="Slagter A">AP Slagter</name></author><author><name sortKey="Kaanders, Jh" uniqKey="Kaanders J">JH Kaanders</name></author><author><name sortKey="Van Den Hoogen, Fj" uniqKey="Van Den Hoogen F">FJ van den Hoogen</name></author><author><name sortKey="Merkx, Ma" uniqKey="Merkx M">MA Merkx</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dreizen, S" uniqKey="Dreizen S">S Dreizen</name></author><author><name sortKey="Daly, Te" uniqKey="Daly T">TE 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sortKey="Yapici, B" uniqKey="Yapici B">B Yapici</name></author><author><name sortKey="Yazici, M" uniqKey="Yazici M">M Yazici</name></author><author><name sortKey="Alanay, A" uniqKey="Alanay A">A Alanay</name></author><author><name sortKey="Gurdalli, S" uniqKey="Gurdalli S">S Gürdalli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Granstrom, G" uniqKey="Granstrom G">G Granström</name></author><author><name sortKey="Jacobsson, M" uniqKey="Jacobsson M">M Jacobsson</name></author><author><name sortKey="Tjellstrom, A" uniqKey="Tjellstrom A">A Tjellström</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Doh, Re Mee" sort="Doh, Re Mee" uniqKey="Doh R" first="Re-Mee" last="Doh">Re-Mee Doh</name></noRegion><name sortKey="Chung, Moon Kyu" sort="Chung, Moon Kyu" uniqKey="Chung M" first="Moon-Kyu" last="Chung">Moon-Kyu Chung</name><name sortKey="Jung, Han Sung" sort="Jung, Han Sung" uniqKey="Jung H" first="Han-Sung" last="Jung">Han-Sung Jung</name><name sortKey="Keum, Ki Chang" sort="Keum, Ki Chang" uniqKey="Keum K" first="Ki Chang" last="Keum">Ki Chang Keum</name><name sortKey="Kim, Jun Won" sort="Kim, Jun Won" uniqKey="Kim J" first="Jun Won" last="Kim">Jun Won Kim</name><name sortKey="Kim, Sungtae" sort="Kim, Sungtae" uniqKey="Kim S" first="Sungtae" last="Kim">Sungtae Kim</name><name sortKey="Park, Kyeong Mee" sort="Park, Kyeong Mee" uniqKey="Park K" first="Kyeong-Mee" last="Park">Kyeong-Mee Park</name><name sortKey="Shim, June Sung" sort="Shim, June Sung" uniqKey="Shim J" first="June-Sung" last="Shim">June-Sung Shim</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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