Osseointegrated Oral Implants in Head and Neck Cancer Patients
Identifieur interne : 00A323 ( Main/Merge ); précédent : 00A322; suivant : 00A324Osseointegrated Oral Implants in Head and Neck Cancer Patients
Auteurs : Joke M. Kwakman [Pays-Bas] ; Hans-Peter M. Freihofer [Pays-Bas] ; Marinus A. J. Van Waas [Pays-Bas]Source :
- The Laryngoscope [ 0023-852X ] ; 1997-04.
English descriptors
- KwdEn :
- April, Cancer patient, Dental rehabilitation, Dental status, Dentate, Denture, Edentulous, Edentulous patients, Further treatment, Graft, Implant, Implant treatment, Implantation, Insertion, Kwakman, Laryngoscope, Local recurrence, Mandible, Maxilla, Maxillofacial surgery, Mund kiefer gesichtschir, Nijmegen, Oral implants, Oral maxillofac implants, Osseointegrated, Osseointegrated implants, Partial resection, Prosthet, Prosthet dent, Prosthetic, Prosthetic rehabilitation, Prosthetic treatment, Radiotherapy, Removable dentures, Resection, Salivary glands, Soft tissue, Surgical, Surgical treatment, Tumor treatment, University hospital nijmegen, Various reasons.
- Teeft :
- April, Cancer patient, Dental rehabilitation, Dental status, Dentate, Denture, Edentulous, Edentulous patients, Further treatment, Graft, Implant, Implant treatment, Implantation, Insertion, Kwakman, Laryngoscope, Local recurrence, Mandible, Maxilla, Maxillofacial surgery, Mund kiefer gesichtschir, Nijmegen, Oral implants, Oral maxillofac implants, Osseointegrated, Osseointegrated implants, Partial resection, Prosthet, Prosthet dent, Prosthetic, Prosthetic rehabilitation, Prosthetic treatment, Radiotherapy, Removable dentures, Resection, Salivary glands, Soft tissue, Surgical, Surgical treatment, Tumor treatment, University hospital nijmegen, Various reasons.
Abstract
After cancer treatment in the head and neck area, mastication and speech are often affected. Some of the problems encountered can be solved by adequate dental rehabilitation. However, dental rehabilitation is often compromised for various reasons. The change in anatomy due to surgery often results in lack of denture‐bearing mucosa. The effects of radiotherapy on the salivary glands and the mucosa result in dry oral tissue and diminished retention of removable dentures. Osseointegrated oral implants can help to solve these problems. Although implant treatment for patients with cancer of the head and neck is covered by the Dutch national health insurance, and there is therefore no financial obstacle, implants have not, so far, been widely used with these patients. In order to establish the possible reasons for this, an analysis was performed. Retrospective data on 95 consecutive patients were collected from records. The indication for the use of oral osseointegrated implants was reviewed. Analysis of the data showed that 45% did not need specific prosthetic rehabilitation. An indication for the use of osseointegrated implants was found in 25% of the patients. For various reasons, only 3% actually received implants. In striving to completely rehabilitate a cancer patient, the possible use of osseointegrated oral implants should be evaluated before the initial oncological treatment begins. The insertion of implants during the initial surgical procedure should be considered more often, with a view to reducing the number of surgical procedures.
Url:
DOI: 10.1097/00005537-199704000-00016
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ISTEX:2D814237C1CB2D1E8A63775D3B31E21222EB72E4Le document en format XML
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<author><name sortKey="Kwakman, Joke M" sort="Kwakman, Joke M" uniqKey="Kwakman J" first="Joke M." last="Kwakman">Joke M. Kwakman</name>
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<author><name sortKey="Freihofer, Hans Eter M" sort="Freihofer, Hans Eter M" uniqKey="Freihofer H" first="Hans-Peter M." last="Freihofer">Hans-Peter M. Freihofer</name>
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<author><name sortKey="Van Waas, Marinus A J" sort="Van Waas, Marinus A J" uniqKey="Van Waas M" first="Marinus A. J." last="Van Waas">Marinus A. J. Van Waas</name>
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<wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, Nijmegen</wicri:regionArea>
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<affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Correspondence address: Joke M. Kwakman, DMD, Mond‐ en Kaakchirurgie, Academisch Ziekenhuis Nijmegen, Postbus 9101, 6500 HB Nijmegen</wicri:regionArea>
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<author><name sortKey="Freihofer, Hans Eter M" sort="Freihofer, Hans Eter M" uniqKey="Freihofer H" first="Hans-Peter M." last="Freihofer">Hans-Peter M. Freihofer</name>
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<series><title level="j" type="main">The Laryngoscope</title>
<title level="j" type="alt">LARYNGOSCOPE</title>
<idno type="ISSN">0023-852X</idno>
<idno type="eISSN">1531-4995</idno>
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<publisher>John Wiley & Sons, Inc.</publisher>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>April</term>
<term>Cancer patient</term>
<term>Dental rehabilitation</term>
<term>Dental status</term>
<term>Dentate</term>
<term>Denture</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Further treatment</term>
<term>Graft</term>
<term>Implant</term>
<term>Implant treatment</term>
<term>Implantation</term>
<term>Insertion</term>
<term>Kwakman</term>
<term>Laryngoscope</term>
<term>Local recurrence</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Maxillofacial surgery</term>
<term>Mund kiefer gesichtschir</term>
<term>Nijmegen</term>
<term>Oral implants</term>
<term>Oral maxillofac implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Partial resection</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic rehabilitation</term>
<term>Prosthetic treatment</term>
<term>Radiotherapy</term>
<term>Removable dentures</term>
<term>Resection</term>
<term>Salivary glands</term>
<term>Soft tissue</term>
<term>Surgical</term>
<term>Surgical treatment</term>
<term>Tumor treatment</term>
<term>University hospital nijmegen</term>
<term>Various reasons</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>April</term>
<term>Cancer patient</term>
<term>Dental rehabilitation</term>
<term>Dental status</term>
<term>Dentate</term>
<term>Denture</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Further treatment</term>
<term>Graft</term>
<term>Implant</term>
<term>Implant treatment</term>
<term>Implantation</term>
<term>Insertion</term>
<term>Kwakman</term>
<term>Laryngoscope</term>
<term>Local recurrence</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Maxillofacial surgery</term>
<term>Mund kiefer gesichtschir</term>
<term>Nijmegen</term>
<term>Oral implants</term>
<term>Oral maxillofac implants</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Partial resection</term>
<term>Prosthet</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic rehabilitation</term>
<term>Prosthetic treatment</term>
<term>Radiotherapy</term>
<term>Removable dentures</term>
<term>Resection</term>
<term>Salivary glands</term>
<term>Soft tissue</term>
<term>Surgical</term>
<term>Surgical treatment</term>
<term>Tumor treatment</term>
<term>University hospital nijmegen</term>
<term>Various reasons</term>
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<front><div type="abstract" xml:lang="en">After cancer treatment in the head and neck area, mastication and speech are often affected. Some of the problems encountered can be solved by adequate dental rehabilitation. However, dental rehabilitation is often compromised for various reasons. The change in anatomy due to surgery often results in lack of denture‐bearing mucosa. The effects of radiotherapy on the salivary glands and the mucosa result in dry oral tissue and diminished retention of removable dentures. Osseointegrated oral implants can help to solve these problems. Although implant treatment for patients with cancer of the head and neck is covered by the Dutch national health insurance, and there is therefore no financial obstacle, implants have not, so far, been widely used with these patients. In order to establish the possible reasons for this, an analysis was performed. Retrospective data on 95 consecutive patients were collected from records. The indication for the use of oral osseointegrated implants was reviewed. Analysis of the data showed that 45% did not need specific prosthetic rehabilitation. An indication for the use of osseointegrated implants was found in 25% of the patients. For various reasons, only 3% actually received implants. In striving to completely rehabilitate a cancer patient, the possible use of osseointegrated oral implants should be evaluated before the initial oncological treatment begins. The insertion of implants during the initial surgical procedure should be considered more often, with a view to reducing the number of surgical procedures.</div>
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