Serveur d'exploration sur le patient édenté

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Period between completion of radiation therapy and prosthetic rehabilitation in edentulous patients: a retrospective study.

Identifieur interne : 002985 ( PubMed/Curation ); précédent : 002984; suivant : 002986

Period between completion of radiation therapy and prosthetic rehabilitation in edentulous patients: a retrospective study.

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

Source :

RBID : pubmed:16011622

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English descriptors

Abstract

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.

DOI: 10.1111/j.1532-849X.2005.00014.x
PubMed: 16011622

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Le document en format XML

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<title xml:lang="en">Period between completion of radiation therapy and prosthetic rehabilitation in edentulous patients: a retrospective study.</title>
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<name sortKey="Gerngross, Peter J" sort="Gerngross, Peter J" uniqKey="Gerngross P" first="Peter J" last="Gerngross">Peter J. Gerngross</name>
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<nlm:affiliation>Veteran's Administration Hospital, Houston, Texas, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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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>
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<name sortKey="Ball, John D" sort="Ball, John D" uniqKey="Ball J" first="John D" last="Ball">John D. Ball</name>
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<name sortKey="Engelmeier, Robert L" sort="Engelmeier, Robert L" uniqKey="Engelmeier R" first="Robert L" last="Engelmeier">Robert L. Engelmeier</name>
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<name sortKey="Gilbert, Harry D" sort="Gilbert, Harry D" uniqKey="Gilbert H" first="Harry D" last="Gilbert">Harry D. Gilbert</name>
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<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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<name sortKey="Narendran, Sena" sort="Narendran, Sena" uniqKey="Narendran S" first="Sena" last="Narendran">Sena Narendran</name>
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<term>Adult</term>
<term>Aged</term>
<term>Chi-Square Distribution</term>
<term>Cranial Irradiation (adverse effects)</term>
<term>Denture, Complete (adverse effects)</term>
<term>Female</term>
<term>Head and Neck Neoplasms (radiotherapy)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Oral Ulcer (etiology)</term>
<term>Osteonecrosis (surgery)</term>
<term>Osteoradionecrosis (etiology)</term>
<term>Radiotherapy Dosage</term>
<term>Retrospective Studies</term>
<term>Stomatitis, Denture (etiology)</term>
<term>Time Factors</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bouche édentée (rééducation et réadaptation)</term>
<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>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Cranial Irradiation</term>
<term>Denture, Complete</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Irradiation crânienne</term>
<term>Prothèse dentaire complète</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Oral Ulcer</term>
<term>Osteoradionecrosis</term>
<term>Stomatitis, Denture</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en">
<term>Head and Neck Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr">
<term>Tumeurs de la tête et du cou</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Mouth, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Bouche édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Osteonecrosis</term>
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<term>Ostéoradionécrose</term>
<term>Stomatite prothétique</term>
<term>Ulcère buccal</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Chi-Square Distribution</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiotherapy Dosage</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
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<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>
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<front>
<div type="abstract" xml:lang="en">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.</div>
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<DateCompleted>
<Year>2005</Year>
<Month>09</Month>
<Day>20</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1059-941X</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>14</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2005</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Journal of prosthodontics : official journal of the American College of Prosthodontists</Title>
<ISOAbbreviation>J Prosthodont</ISOAbbreviation>
</Journal>
<ArticleTitle>Period between completion of radiation therapy and prosthetic rehabilitation in edentulous patients: a retrospective study.</ArticleTitle>
<Pagination>
<MedlinePgn>110-21</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">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.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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).</AbstractText>
<CopyrightInformation>Copyright (c) 2005 by The American College of Prosthodontists.</CopyrightInformation>
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<LastName>Gerngross</LastName>
<ForeName>Peter J</ForeName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName>
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<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<DescriptorName UI="D013282" MajorTopicYN="N">Stomatitis, Denture</DescriptorName>
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<DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
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