Interforaminal implant placement in oral cancer patients: during ablative surgery or delayed? A 5-year retrospective study.
Identifieur interne : 002419 ( Main/Exploration ); précédent : 002418; suivant : 002420Interforaminal implant placement in oral cancer patients: during ablative surgery or delayed? A 5-year retrospective study.
Auteurs : K. Mizbah [Pays-Bas] ; J P Dings ; J H A M. Kaanders ; F J A. Van Den Hoogen ; R. Koole ; G J Meijer ; M A W. MerkxSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2013.
Descripteurs français
- KwdFr :
- Carcinome épidermoïde (), Carcinome épidermoïde (radiothérapie), Dosimétrie en radiothérapie, Facteurs temps, Femelle, Humains, Implants dentaires, Lésions radio-induites (étiologie), Mandibule (), Mâchoire édentée (), Mâchoire édentée (rééducation et réadaptation), Mâle, Ostéo-intégration (physiologie), Overdenture, Oxygénation hyperbare, Pose d'implant dentaire endo-osseux (), Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Radiothérapie adjuvante, Récidive tumorale locale (anatomopathologie), Stade de la tumeur, Trismus (étiologie), Tumeurs de la bouche (), Tumeurs de la bouche (radiothérapie), Échec de restauration dentaire, Études de suivi, Études rétrospectives.
- MESH :
- anatomopathologie : Récidive tumorale locale.
- physiologie : Ostéo-intégration.
- radiothérapie : Carcinome épidermoïde, Tumeurs de la bouche.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Lésions radio-induites, Trismus.
- Carcinome épidermoïde, Dosimétrie en radiothérapie, Facteurs temps, Femelle, Humains, Implants dentaires, Mandibule, Mâchoire édentée, Mâle, Overdenture, Oxygénation hyperbare, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète inférieure, Prothèse dentaire implanto-portée, Radiothérapie adjuvante, Stade de la tumeur, Tumeurs de la bouche, Échec de restauration dentaire, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Carcinoma, Squamous Cell (radiotherapy), Carcinoma, Squamous Cell (surgery), Dental Implantation, Endosseous (methods), Dental Implants, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Lower, Denture, Overlay, Female, Follow-Up Studies, Humans, Hyperbaric Oxygenation, Jaw, Edentulous (rehabilitation), Jaw, Edentulous (surgery), Male, Mandible (surgery), Mouth Neoplasms (radiotherapy), Mouth Neoplasms (surgery), Neoplasm Recurrence, Local (pathology), Neoplasm Staging, Osseointegration (physiology), Radiation Injuries (etiology), Radiotherapy Dosage, Radiotherapy, Adjuvant, Retrospective Studies, Time Factors, Trismus (etiology).
- MESH :
- chemical : Dental Implants.
- etiology : Radiation Injuries, Trismus.
- methods : Dental Implantation, Endosseous.
- pathology : Neoplasm Recurrence, Local.
- physiology : Osseointegration.
- radiotherapy : Carcinoma, Squamous Cell, Mouth Neoplasms.
- rehabilitation : Jaw, Edentulous.
- surgery : Carcinoma, Squamous Cell, Jaw, Edentulous, Mandible, Mouth Neoplasms.
- Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Denture, Complete, Lower, Denture, Overlay, Female, Follow-Up Studies, Humans, Hyperbaric Oxygenation, Male, Neoplasm Staging, Radiotherapy Dosage, Radiotherapy, Adjuvant, Retrospective Studies, Time Factors.
Abstract
In a retrospective study, two mandibular prosthetic rehabilitation strategies supported by implants in oral cancer patients were evaluated: implants placed in the non-resected edentulous symphyseal area during ablative surgery (DAS implants); or at a later stage (postponed (P) implants). Medical files of patients from two head-neck oncology groups from 2000 to 2005 were screened for study inclusion. DAS protocol was used in one group and P protocol in the other. After a 5 year follow-up of 261 edentulous patients with oral cancer in the second group, P implants were placed in 27 patients to support an overdenture. Of the 249 edentulous patients in the first group, 82 patients were given an implant supported overdenture using the DAS implant protocol. Regarding implant loss, no statistically significant differences were seen between the DAS and P implants. In the DAS group, more patients benefited from an implant-supported lower overdenture (39 versus 11%, respectively), and they received their overdenture on average 20.0 months sooner (sd=11.01, p<0.001) after ablative surgery. 17.1% of DAS implants and 4.6% of P implants were never loaded due to tumour and patient related factors including unfavourable implant soft tissue, tumour recurrence near the implant, or radiotherapy induced trismus.
DOI: 10.1016/j.ijom.2012.09.013
PubMed: 23102901
Affiliations:
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Mizbah</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen</wicri:regionArea><placeName><settlement type="city">Nimègue</settlement><region type="province" nuts="2">Gueldre</region></placeName></affiliation></author><author><name sortKey="Dings, J P" sort="Dings, J P" uniqKey="Dings J" first="J P" last="Dings">J P Dings</name></author><author><name sortKey="Kaanders, J H A M" sort="Kaanders, J H A M" uniqKey="Kaanders J" first="J H A M" last="Kaanders">J H A M. Kaanders</name></author><author><name sortKey="Van Den Hoogen, F J A" sort="Van Den Hoogen, F J A" uniqKey="Van Den Hoogen F" first="F J A" last="Van Den Hoogen">F J A. 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Kaanders</name></author><author><name sortKey="Van Den Hoogen, F J A" sort="Van Den Hoogen, F J A" uniqKey="Van Den Hoogen F" first="F J A" last="Van Den Hoogen">F J A. Van Den Hoogen</name></author><author><name sortKey="Koole, R" sort="Koole, R" uniqKey="Koole R" first="R" last="Koole">R. Koole</name></author><author><name sortKey="Meijer, G J" sort="Meijer, G J" uniqKey="Meijer G" first="G J" last="Meijer">G J Meijer</name></author><author><name sortKey="Merkx, M A W" sort="Merkx, M A W" uniqKey="Merkx M" first="M A W" last="Merkx">M A W. Merkx</name></author></analytic><series><title level="j">International journal of oral and maxillofacial surgery</title><idno type="eISSN">1399-0020</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Carcinoma, Squamous Cell (radiotherapy)</term><term>Carcinoma, Squamous Cell (surgery)</term><term>Dental Implantation, Endosseous (methods)</term><term>Dental Implants</term><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Hyperbaric Oxygenation</term><term>Jaw, Edentulous (rehabilitation)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Mouth Neoplasms (radiotherapy)</term><term>Mouth Neoplasms (surgery)</term><term>Neoplasm Recurrence, Local (pathology)</term><term>Neoplasm Staging</term><term>Osseointegration (physiology)</term><term>Radiation Injuries (etiology)</term><term>Radiotherapy Dosage</term><term>Radiotherapy, Adjuvant</term><term>Retrospective Studies</term><term>Time Factors</term><term>Trismus (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Carcinome épidermoïde ()</term><term>Carcinome épidermoïde (radiothérapie)</term><term>Dosimétrie en radiothérapie</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Lésions radio-induites (étiologie)</term><term>Mandibule ()</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Ostéo-intégration (physiologie)</term><term>Overdenture</term><term>Oxygénation hyperbare</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Radiothérapie adjuvante</term><term>Récidive tumorale locale (anatomopathologie)</term><term>Stade de la tumeur</term><term>Trismus (étiologie)</term><term>Tumeurs de la bouche ()</term><term>Tumeurs de la bouche (radiothérapie)</term><term>Échec de restauration dentaire</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Récidive tumorale locale</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Radiation Injuries</term><term>Trismus</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Neoplasm Recurrence, Local</term></keywords><keywords scheme="MESH" qualifier="physiologie" 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xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term><term>Dental Restoration Failure</term><term>Denture, Complete, Lower</term><term>Denture, Overlay</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Hyperbaric Oxygenation</term><term>Male</term><term>Neoplasm Staging</term><term>Radiotherapy Dosage</term><term>Radiotherapy, Adjuvant</term><term>Retrospective Studies</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Carcinome épidermoïde</term><term>Dosimétrie en radiothérapie</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Implants dentaires</term><term>Mandibule</term><term>Mâchoire édentée</term><term>Mâle</term><term>Overdenture</term><term>Oxygénation hyperbare</term><term>Pose d'implant dentaire endo-osseux</term><term>Prothèse dentaire complète inférieure</term><term>Prothèse dentaire implanto-portée</term><term>Radiothérapie adjuvante</term><term>Stade de la tumeur</term><term>Tumeurs de la bouche</term><term>Échec de restauration dentaire</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In a retrospective study, two mandibular prosthetic rehabilitation strategies supported by implants in oral cancer patients were evaluated: implants placed in the non-resected edentulous symphyseal area during ablative surgery (DAS implants); or at a later stage (postponed (P) implants). Medical files of patients from two head-neck oncology groups from 2000 to 2005 were screened for study inclusion. DAS protocol was used in one group and P protocol in the other. After a 5 year follow-up of 261 edentulous patients with oral cancer in the second group, P implants were placed in 27 patients to support an overdenture. Of the 249 edentulous patients in the first group, 82 patients were given an implant supported overdenture using the DAS implant protocol. Regarding implant loss, no statistically significant differences were seen between the DAS and P implants. In the DAS group, more patients benefited from an implant-supported lower overdenture (39 versus 11%, respectively), and they received their overdenture on average 20.0 months sooner (sd=11.01, p<0.001) after ablative surgery. 17.1% of DAS implants and 4.6% of P implants were never loaded due to tumour and patient related factors including unfavourable implant soft tissue, tumour recurrence near the implant, or radiotherapy induced trismus.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Gueldre</li></region><settlement><li>Nimègue</li></settlement></list><tree><noCountry><name sortKey="Dings, J P" sort="Dings, J P" uniqKey="Dings J" first="J P" last="Dings">J P Dings</name><name sortKey="Kaanders, J H A M" sort="Kaanders, J H A M" uniqKey="Kaanders J" first="J H A M" last="Kaanders">J H A M. Kaanders</name><name sortKey="Koole, R" sort="Koole, R" uniqKey="Koole R" first="R" last="Koole">R. Koole</name><name sortKey="Meijer, G J" sort="Meijer, G J" uniqKey="Meijer G" first="G J" last="Meijer">G J Meijer</name><name sortKey="Merkx, M A W" sort="Merkx, M A W" uniqKey="Merkx M" first="M A W" last="Merkx">M A W. Merkx</name><name sortKey="Van Den Hoogen, F J A" sort="Van Den Hoogen, F J A" uniqKey="Van Den Hoogen F" first="F J A" last="Van Den Hoogen">F J A. Van Den Hoogen</name></noCountry><country name="Pays-Bas"><region name="Gueldre"><name sortKey="Mizbah, K" sort="Mizbah, K" uniqKey="Mizbah K" first="K" last="Mizbah">K. Mizbah</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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