| Popis: |
Modern standards of treatment for patients with head and neck cancer include complete rehabilitation of the stomatognathic system, which includes the use of the most modern operative techniques in the reconstruction of hard and soft tissues of the oral cavity. This means the use of free bone grafts on their own, together with the associated blood supply, muscle, skin, as well as the use of dental implants to replace official units. During this complex procedure, there are numerous challenges that we will face in order to achieve the best possible outcome of the treatment of our patients. It should be emphasized that such rehabilitation requires a multidisciplinary approach by specialists in general medicine, maxillofacial surgery, oncologists, psychiatrists, as well as doctors of dental medicine, oral medicine specialists, oral surgery specialists and dental prosthetics specialists, each of whom in their own segment, encountering numerous obstacles, contribute to the final goal. The purpose of this presentation is on the basis of long-term follow-up and treatment of patients irradiated in the head and neck area, along with the presentation of scientific data from modern research, to present guidelines for the placement of dental implants with the aim of their best possible survival, considering the inevitably harmful effects of radiotherapy. Apparently, positive changes have occurred in the last decade in terms of progress and minimal negative impact of radiotherapy on tissues, as well as in dental implantology in terms of bone and surface of dental implants, expected treatment outcomes and survival of dental implants in such patients have improved. |
