Use of Implants for Prosthetic Rehabilitation after Cancer Treatment: Clinical Experiences
| Autor: | M. Scholtemeijer, H. W. Denissen, L. L. Visch, W. Kalk, P. C. Levendag |
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| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty Prosthetic rehabilitation Dentistry Mandible Bone and Bones Osseointegration Humans Medicine Aged Aged 80 and over Titanium Bone growth Maxillofacial Prosthesis business.industry Head and neck cancer Irradiated bone Middle Aged medicine.disease Cancer treatment Surgery Atrophic mucosa Head and Neck Neoplasms Implant business |
| Zdroj: | Journal of Investigative Surgery. 7:291-303 |
| ISSN: | 1521-0553 0894-1939 |
| DOI: | 10.3109/08941939409051147 |
| Popis: | Treatment of patients with head and neck cancer may result in extensive intra- or extra-oral defects. Prosthetic rehabilitation often will be limited by insufficient retention and an atrophic mucosa or skin. In such cases, osseointegrated implants may offer substantially improved retention for the often complex prosthetic constructions. However, irradiation has a negative influence on the bone growth capacity and thus on osseointegration. Based on experimental studies, a recovery period of 6 to 12 months after irradiation is recommended. Because of the risk of failure and the lack of sufficient and sound scientific knowledge, clinical studies of titanium implants inserted in previously irradiated bone tissue have had varying results. This paper discusses the typical requirements of implant suprastructures for resection prostheses. Some of the patient histories and clinical management presented illustrate the possibilities of implants in the field of maxillofacial reconstruction. |
| Databáze: | OpenAIRE |
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