Outcomes of osseointegrated implants in patients with benign and malignant pathologies of the head and neck: a 10-year single-centre study
| Autor: | Martin D. Batstone, Scott C. Borgna, Darius Khadembaschi, Nicholas Beech |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Osseointegration 03 medical and health sciences 0302 clinical medicine medicine Humans Dental Restoration Failure Retrospective Studies Dental Implants Bone Transplantation Bone-Anchored Prosthesis business.industry Proportional hazards model Dental Implantation Endosseous Head and neck cancer Hazard ratio Implant failure Retrospective cohort study 030206 dentistry Plastic Surgery Procedures medicine.disease Surgery Otorhinolaryngology 030220 oncology & carcinogenesis Maxilla Quality of Life Implant Oral Surgery business |
| Zdroj: | International Journal of Oral and Maxillofacial Surgery. 50:1375-1382 |
| ISSN: | 0901-5027 |
| DOI: | 10.1016/j.ijom.2021.02.019 |
| Popis: | The surgical management of head and neck pathologies involving the maxilla and mandible results in significant functional and aesthetic deficits, and ultimately reduced quality of life. Composite free flaps used for reconstruction address many of these deficits and create a foundation for the use of osseointegrated implants to support prosthetic replacement of the dentition. There are few comparative studies examining outcomes of implants in native and reconstructed bone in head and neck cancer patients. The aim of this retrospective cohort study was to compare survival rates and the effects of risk factors between implants placed in native and reconstructed bone. The Kaplan-Meier method estimated cumulative 1- and 5-year implant survival rates of 99.5% and 95% for native bone and 96% and 88% for reconstructed bone. Multivariate Cox regression found an increased risk of implant failure in reconstructed bone (hazard ratio (HR) 9.9, 95% confidence interval (CI) 3.4-29.7, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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