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Period between Completion of Radiation Therapy and Prosthetic Rehabilitation in Edentulous Patients: A Retrospective Study

Identifieur interne : 007381 ( Main/Exploration ); précédent : 007380; suivant : 007382

Period between Completion of Radiation Therapy and Prosthetic Rehabilitation in Edentulous Patients: A Retrospective Study

Auteurs : Peter J. Gerngross [États-Unis] ; Charles D. Martin [États-Unis] ; John D. Ball [États-Unis] ; Robert L. Engelmeier [États-Unis] ; Harry D. Gilbert [États-Unis] ; John M. Powers [États-Unis] ; Sena Narendran [États-Unis] ; Mark S. Chambers [États-Unis]

Source :

RBID : ISTEX:CA913070B040B24B3957AC26EB3C819EFA7747EF

Descripteurs français

English descriptors

Abstract

Purpose: The primary purposes of this study were: (1) to describe the number and types of complications patients had before and after insertion of a removable prosthesis (i.e., denture) following radiation therapy to the head and neck and (2) to investigate whether the time between radiation therapy and denture insertion might contribute to those complications. Materials and Methods: This research evaluated edentulous patients and those who were rendered edentulous as a result of their cancer treatment. After obtaining institutional approval following HIPAA regulations, a total of 349 charts were identified: 152 patients from Houston Veterans Administration Medical Center (HVAMC) and 197 patients from M. D. Anderson Cancer Center (MDACC). A total of 190 patients met the inclusion criteria with data available for review. Results: No significant differences were found in any of the comparisons made, except when comparing complications that occurred after the dentures were inserted and the amount of time it took for prosthetic rehabilitation. The majority of patients had no complications. The patients who received their dentures in 180 days or less had the same number of complications when compared with those patients who received their dentures in 181 to 365 days and those who had to wait longer than a year for prosthetic rehabilitation. Patients with more pre‐insertion complications tended to have delayed prosthetic rehabilitation. Those patients who had complications both before and after denture insertion tended to have bilateral dosing of their radiation treatment. Patients who had received radiation therapy were 1.7 times more likely to have post‐prosthesis insertion complications. The majority of patients who experienced complications before and after denture insertion had greater than 5000 cGy. Conclusions: The numbers of complications reviewed in this retrospective analysis were considerably fewer than the number expected. There appears to be no difference in the number of pre‐ and post‐insertion complications as a function of the time delay from oral surgical procedure to start of radiation treatment (10 to 21 days vs. 22 days or more).

Url:
DOI: 10.1111/j.1532-849X.2005.00014.x


Affiliations:


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Le document en format XML

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<term>Administration hospital</term>
<term>Adult</term>
<term>Aged</term>
<term>American college</term>
<term>Anderson cancer center</term>
<term>Bilateral</term>
<term>Bilateral dose</term>
<term>Bilateral dosing</term>
<term>Chi-Square Distribution</term>
<term>Clinical controversies</term>
<term>Complete denture prostheses</term>
<term>Complete denture prosthodontics</term>
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<term>Complications insertion</term>
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<term>Cranial Irradiation (adverse effects)</term>
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<term>Dental clinics</term>
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<term>Denture fabrication</term>
<term>Denture insertion</term>
<term>Denture, Complete (adverse effects)</term>
<term>Dos</term>
<term>Dosing</term>
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<term>Edentulous patients</term>
<term>Female</term>
<term>Fewer complications</term>
<term>Future research</term>
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<term>Hard tissue</term>
<term>Head and Neck Neoplasms (radiotherapy)</term>
<term>Health science center</term>
<term>Higher dose</term>
<term>Higher doses</term>
<term>Humans</term>
<term>Hvamc</term>
<term>Hyperbaric oxygen</term>
<term>Hyperbaric oxygen therapy</term>
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<term>Insertion complication</term>
<term>Insertion complications</term>
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<term>Male</term>
<term>Many patients</term>
<term>Maxillofacial surgery</term>
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<term>Neck surgery</term>
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<term>Oral complications days days days</term>
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<term>Oral surg</term>
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<term>Osteoradionecrosis (etiology)</term>
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<term>Radiation summary</term>
<term>Radiation therapy</term>
<term>Radiation treatment</term>
<term>Radiotherapy Dosage</term>
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<term>Retrospective Studies</term>
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<term>Dosimétrie en radiothérapie</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Irradiation crânienne (effets indésirables)</term>
<term>Loi du khi-deux</term>
<term>Mâle</term>
<term>Ostéonécrose ()</term>
<term>Ostéoradionécrose (étiologie)</term>
<term>Prothèse dentaire complète (effets indésirables)</term>
<term>Stomatite prothétique (étiologie)</term>
<term>Sujet âgé</term>
<term>Tumeurs de la tête et du cou (radiothérapie)</term>
<term>Ulcère buccal (étiologie)</term>
<term>Études rétrospectives</term>
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<term>Cranial Irradiation</term>
<term>Denture, Complete</term>
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<term>Irradiation crânienne</term>
<term>Prothèse dentaire complète</term>
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<term>Oral Ulcer</term>
<term>Osteoradionecrosis</term>
<term>Stomatitis, Denture</term>
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<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Head and Neck Neoplasms</term>
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<term>Tumeurs de la tête et du cou</term>
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<term>Mouth, Edentulous</term>
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<term>Bouche édentée</term>
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<term>Osteonecrosis</term>
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<term>Ostéoradionécrose</term>
<term>Stomatite prothétique</term>
<term>Ulcère buccal</term>
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<keywords scheme="Teeft" xml:lang="en">
<term>Administration hospital</term>
<term>Adult</term>
<term>Aged</term>
<term>American college</term>
<term>Anderson cancer center</term>
<term>Bilateral</term>
<term>Bilateral dose</term>
<term>Bilateral dosing</term>
<term>Chi-Square Distribution</term>
<term>Clinical controversies</term>
<term>Complete denture prostheses</term>
<term>Complete denture prosthodontics</term>
<term>Complication</term>
<term>Complications insertion</term>
<term>Complications patients</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental branch</term>
<term>Dental care</term>
<term>Dental clinics</term>
<term>Dental extractions</term>
<term>Denture</term>
<term>Denture fabrication</term>
<term>Denture insertion</term>
<term>Dos</term>
<term>Dosing</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Female</term>
<term>Fewer complications</term>
<term>Future research</term>
<term>Great deal</term>
<term>Hard tissue</term>
<term>Health science center</term>
<term>Higher dose</term>
<term>Higher doses</term>
<term>Humans</term>
<term>Hvamc</term>
<term>Hyperbaric oxygen</term>
<term>Hyperbaric oxygen therapy</term>
<term>Insertion</term>
<term>Insertion complication</term>
<term>Insertion complications</term>
<term>Large volume</term>
<term>Male</term>
<term>Many patients</term>
<term>Maxillofacial surgery</term>
<term>Mdacc</term>
<term>Medical records</term>
<term>Middle Aged</term>
<term>More complications</term>
<term>Neck cancer patients</term>
<term>Neck irradiation</term>
<term>Neck radiation therapy</term>
<term>Neck surgery</term>
<term>Oral cancer</term>
<term>Oral complications</term>
<term>Oral complications days days days</term>
<term>Oral maxillofac surg</term>
<term>Oral mucosa</term>
<term>Oral pathol</term>
<term>Oral surg</term>
<term>Oral surgery</term>
<term>Osteoradionecrosis</term>
<term>Patient record</term>
<term>Preprosthesis insertion complications</term>
<term>Present study</term>
<term>Pressure areas</term>
<term>Primary purposes</term>
<term>Prospective study</term>
<term>Prosthesis</term>
<term>Prosthesis insertion</term>
<term>Prosthesis insertion number</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic rehabilitation</term>
<term>Prosthodontist</term>
<term>Radiat oncol biol phys</term>
<term>Radiation dose</term>
<term>Radiation necrosis</term>
<term>Radiation summary</term>
<term>Radiation therapy</term>
<term>Radiation treatment</term>
<term>Radiotherapy Dosage</term>
<term>Removable prosthesis denture</term>
<term>Retrospective</term>
<term>Retrospective Studies</term>
<term>Retrospective analysis</term>
<term>Retrospective study</term>
<term>Salivary glands</term>
<term>Seer database</term>
<term>Small sample sizes</term>
<term>Statistical analysis</term>
<term>Statistical methods</term>
<term>Study population</term>
<term>Study show</term>
<term>Such variables</term>
<term>Surg</term>
<term>Table number</term>
<term>Therapy</term>
<term>Time Factors</term>
<term>Time delay</term>
<term>Total dose</term>
<term>Total study population</term>
<term>Treatment modalities</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Dosimétrie en radiothérapie</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Loi du khi-deux</term>
<term>Mâle</term>
<term>Ostéonécrose</term>
<term>Sujet âgé</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">Purpose: The primary purposes of this study were: (1) to describe the number and types of complications patients had before and after insertion of a removable prosthesis (i.e., denture) following radiation therapy to the head and neck and (2) to investigate whether the time between radiation therapy and denture insertion might contribute to those complications. Materials and Methods: This research evaluated edentulous patients and those who were rendered edentulous as a result of their cancer treatment. After obtaining institutional approval following HIPAA regulations, a total of 349 charts were identified: 152 patients from Houston Veterans Administration Medical Center (HVAMC) and 197 patients from M. D. Anderson Cancer Center (MDACC). A total of 190 patients met the inclusion criteria with data available for review. Results: No significant differences were found in any of the comparisons made, except when comparing complications that occurred after the dentures were inserted and the amount of time it took for prosthetic rehabilitation. The majority of patients had no complications. The patients who received their dentures in 180 days or less had the same number of complications when compared with those patients who received their dentures in 181 to 365 days and those who had to wait longer than a year for prosthetic rehabilitation. Patients with more pre‐insertion complications tended to have delayed prosthetic rehabilitation. Those patients who had complications both before and after denture insertion tended to have bilateral dosing of their radiation treatment. Patients who had received radiation therapy were 1.7 times more likely to have post‐prosthesis insertion complications. The majority of patients who experienced complications before and after denture insertion had greater than 5000 cGy. Conclusions: The numbers of complications reviewed in this retrospective analysis were considerably fewer than the number expected. There appears to be no difference in the number of pre‐ and post‐insertion complications as a function of the time delay from oral surgical procedure to start of radiation treatment (10 to 21 days vs. 22 days or more).</div>
</front>
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<name sortKey="Martin, Charles D" sort="Martin, Charles D" uniqKey="Martin C" first="Charles D." last="Martin">Charles D. Martin</name>
<name sortKey="Narendran, Sena" sort="Narendran, Sena" uniqKey="Narendran S" first="Sena" last="Narendran">Sena Narendran</name>
<name sortKey="Powers, John M" sort="Powers, John M" uniqKey="Powers J" first="John M." last="Powers">John M. Powers</name>
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