Advances in osseointegrated implants for dental and facial rehabilitation following major head and neck surgery.
Identifieur interne : 004272 ( PubMed/Curation ); précédent : 004271; suivant : 004273Advances in osseointegrated implants for dental and facial rehabilitation following major head and neck surgery.
Auteurs : J. Beumer [États-Unis] ; E. Roumanas ; R. NishimuraSource :
- Seminars in surgical oncology [ 8756-0437 ]
Descripteurs français
- KwdFr :
- Association thérapeutique, Bouche édentée (), Humains, Implants dentaires, Maladies du maxillaire supérieur (étiologie), Maladies mandibulaires (étiologie), Mandibule (), Maxillaire (), Os de la face (), Ostéo-intégration, Ostéoradionécrose (étiologie), Prothèse mandibulaire, Prothèse maxillofaciale, Prothèses et implants, Radiothérapie (effets indésirables), Tumeurs de la tête et du cou (), Tumeurs de la tête et du cou (radiothérapie), Tumeurs de la tête et du cou (rééducation et réadaptation).
- MESH :
- effets indésirables : Radiothérapie.
- radiothérapie : Tumeurs de la tête et du cou.
- rééducation et réadaptation : Tumeurs de la tête et du cou.
- étiologie : Maladies du maxillaire supérieur, Maladies mandibulaires, Ostéoradionécrose.
- Association thérapeutique, Bouche édentée, Humains, Implants dentaires, Mandibule, Maxillaire, Os de la face, Ostéo-intégration, Prothèse mandibulaire, Prothèse maxillofaciale, Prothèses et implants, Tumeurs de la tête et du cou.
English descriptors
- KwdEn :
- Combined Modality Therapy, Dental Implants, Facial Bones (surgery), Head and Neck Neoplasms (radiotherapy), Head and Neck Neoplasms (rehabilitation), Head and Neck Neoplasms (surgery), Humans, Mandible (surgery), Mandibular Diseases (etiology), Mandibular Prosthesis, Maxilla (surgery), Maxillary Diseases (etiology), Maxillofacial Prosthesis, Mouth, Edentulous (surgery), Osseointegration, Osteoradionecrosis (etiology), Prostheses and Implants, Radiotherapy (adverse effects).
- MESH :
- chemical : Dental Implants.
- adverse effects : Radiotherapy.
- etiology : Mandibular Diseases, Maxillary Diseases, Osteoradionecrosis.
- radiotherapy : Head and Neck Neoplasms.
- rehabilitation : Head and Neck Neoplasms.
- surgery : Facial Bones, Head and Neck Neoplasms, Mandible, Maxilla, Mouth, Edentulous.
- Combined Modality Therapy, Humans, Mandibular Prosthesis, Maxillofacial Prosthesis, Osseointegration, Prostheses and Implants.
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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pubmed:7638507Le document en format XML
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<author><name sortKey="Beumer, J" sort="Beumer, J" uniqKey="Beumer J" first="J" last="Beumer">J. Beumer</name>
<affiliation wicri:level="1"><nlm:affiliation>Section for Removable Prosthodontics, School of Dentistry, UCLA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Section for Removable Prosthodontics, School of Dentistry, UCLA</wicri:regionArea>
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<author><name sortKey="Roumanas, E" sort="Roumanas, E" uniqKey="Roumanas E" first="E" last="Roumanas">E. Roumanas</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Combined Modality Therapy</term>
<term>Dental Implants</term>
<term>Facial Bones (surgery)</term>
<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>
<term>Osteoradionecrosis (etiology)</term>
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<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>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Radiotherapy</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Radiothérapie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Mandibular Diseases</term>
<term>Maxillary Diseases</term>
<term>Osteoradionecrosis</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>Head and Neck Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Tumeurs de la tête et du cou</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><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>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Combined Modality Therapy</term>
<term>Humans</term>
<term>Mandibular Prosthesis</term>
<term>Maxillofacial Prosthesis</term>
<term>Osseointegration</term>
<term>Prostheses and Implants</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Association thérapeutique</term>
<term>Bouche édentée</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mandibule</term>
<term>Maxillaire</term>
<term>Os de la face</term>
<term>Ostéo-intégration</term>
<term>Prothèse mandibulaire</term>
<term>Prothèse maxillofaciale</term>
<term>Prothèses et implants</term>
<term>Tumeurs de la tête et du cou</term>
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<front><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>
</front>
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<Month>09</Month>
<Day>12</Day>
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<DateRevised><Year>2005</Year>
<Month>11</Month>
<Day>16</Day>
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<JournalIssue CitedMedium="Print"><Volume>11</Volume>
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<Title>Seminars in surgical oncology</Title>
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<ArticleTitle>Advances in osseointegrated implants for dental and facial rehabilitation following major head and neck surgery.</ArticleTitle>
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<Abstract><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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<MeshHeading><DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
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<MeshHeading><DescriptorName UI="D010025" MajorTopicYN="N">Osteoradionecrosis</DescriptorName>
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<MeshHeading><DescriptorName UI="D019736" MajorTopicYN="Y">Prostheses and Implants</DescriptorName>
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<NumberOfReferences>23</NumberOfReferences>
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