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Advances in osseointegrated implants for dental and facial rehabilitation following major head and neck surgery.

Identifieur interne : 004272 ( PubMed/Curation ); précédent : 004271; suivant : 004273

Advances in osseointegrated implants for dental and facial rehabilitation following major head and neck surgery.

Auteurs : J. Beumer [États-Unis] ; E. Roumanas ; R. Nishimura

Source :

RBID : pubmed:7638507

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English descriptors

Abstract

Osseointegrated implants can be used to facilitate retention stability and support for facial and intraoral prostheses used to restore head and neck defects. Preliminary studies indicate that in nonirradiated maxillectomy patients the success rates are about 75%. In the reconstructed mandible the results appear to be more favorable--over 90% for implants placed in free nonvascularized bone grafts and over 90% for free revascularized bone grafts. Similar high success rates have been observed for most sites used to support facial prostheses. Success rates for auricular sites exceed 95% and for floor of nose sites success rates exceed 90%. Success rates have been lower (77%) for implants placed in the frontal bone for retention of orbital prostheses. Success rates for irradiated bone sites have been lower and range from 60.4% in the maxilla to 68.6% in facial bone sites. Of greater concern is that most implants placed in irradiated sites are beginning to show signs of impending failure.

PubMed: 7638507

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<name sortKey="Beumer, J" sort="Beumer, J" uniqKey="Beumer J" first="J" last="Beumer">J. Beumer</name>
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<nlm:affiliation>Section for Removable Prosthodontics, School of Dentistry, UCLA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Roumanas, E" sort="Roumanas, E" uniqKey="Roumanas E" first="E" last="Roumanas">E. Roumanas</name>
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<term>Combined Modality Therapy</term>
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<term>Head and Neck Neoplasms (radiotherapy)</term>
<term>Head and Neck Neoplasms (rehabilitation)</term>
<term>Head and Neck Neoplasms (surgery)</term>
<term>Humans</term>
<term>Mandible (surgery)</term>
<term>Mandibular Diseases (etiology)</term>
<term>Mandibular Prosthesis</term>
<term>Maxilla (surgery)</term>
<term>Maxillary Diseases (etiology)</term>
<term>Maxillofacial Prosthesis</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Osseointegration</term>
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<term>Association thérapeutique</term>
<term>Bouche édentée ()</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maladies du maxillaire supérieur (étiologie)</term>
<term>Maladies mandibulaires (étiologie)</term>
<term>Mandibule ()</term>
<term>Maxillaire ()</term>
<term>Os de la face ()</term>
<term>Ostéo-intégration</term>
<term>Ostéoradionécrose (étiologie)</term>
<term>Prothèse mandibulaire</term>
<term>Prothèse maxillofaciale</term>
<term>Prothèses et implants</term>
<term>Radiothérapie (effets indésirables)</term>
<term>Tumeurs de la tête et du cou ()</term>
<term>Tumeurs de la tête et du cou (radiothérapie)</term>
<term>Tumeurs de la tête et du cou (rééducation et réadaptation)</term>
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<term>Dental Implants</term>
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<term>Radiotherapy</term>
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<term>Radiothérapie</term>
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<term>Mandibular Diseases</term>
<term>Maxillary Diseases</term>
<term>Osteoradionecrosis</term>
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<term>Head and Neck Neoplasms</term>
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<term>Tumeurs de la tête et du cou</term>
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<term>Head and Neck Neoplasms</term>
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<term>Tumeurs de la tête et du cou</term>
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<term>Facial Bones</term>
<term>Head and Neck Neoplasms</term>
<term>Mandible</term>
<term>Maxilla</term>
<term>Mouth, Edentulous</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Maladies du maxillaire supérieur</term>
<term>Maladies mandibulaires</term>
<term>Ostéoradionécrose</term>
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<term>Combined Modality Therapy</term>
<term>Humans</term>
<term>Mandibular Prosthesis</term>
<term>Maxillofacial Prosthesis</term>
<term>Osseointegration</term>
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<term>Humains</term>
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<term>Os de la face</term>
<term>Ostéo-intégration</term>
<term>Prothèse mandibulaire</term>
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<div type="abstract" xml:lang="en">Osseointegrated implants can be used to facilitate retention stability and support for facial and intraoral prostheses used to restore head and neck defects. Preliminary studies indicate that in nonirradiated maxillectomy patients the success rates are about 75%. In the reconstructed mandible the results appear to be more favorable--over 90% for implants placed in free nonvascularized bone grafts and over 90% for free revascularized bone grafts. Similar high success rates have been observed for most sites used to support facial prostheses. Success rates for auricular sites exceed 95% and for floor of nose sites success rates exceed 90%. Success rates have been lower (77%) for implants placed in the frontal bone for retention of orbital prostheses. Success rates for irradiated bone sites have been lower and range from 60.4% in the maxilla to 68.6% in facial bone sites. Of greater concern is that most implants placed in irradiated sites are beginning to show signs of impending failure.</div>
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<Title>Seminars in surgical oncology</Title>
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<AbstractText>Osseointegrated implants can be used to facilitate retention stability and support for facial and intraoral prostheses used to restore head and neck defects. Preliminary studies indicate that in nonirradiated maxillectomy patients the success rates are about 75%. In the reconstructed mandible the results appear to be more favorable--over 90% for implants placed in free nonvascularized bone grafts and over 90% for free revascularized bone grafts. Similar high success rates have been observed for most sites used to support facial prostheses. Success rates for auricular sites exceed 95% and for floor of nose sites success rates exceed 90%. Success rates have been lower (77%) for implants placed in the frontal bone for retention of orbital prostheses. Success rates for irradiated bone sites have been lower and range from 60.4% in the maxilla to 68.6% in facial bone sites. Of greater concern is that most implants placed in irradiated sites are beginning to show signs of impending failure.</AbstractText>
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