Implant-based rehabilitation in oncology patients can be performed with high long-term success

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Sarah A HesslingMartin Scheer

Abstract

Radiotherapy and compromised vital bone and/or surrounding soft tissue can be a challenge to the successful osseointegration of dental implants. We evaluated the long-term results of dental implants in patients with oral cancer. To address the research purpose, we designed and implemented a retrospective cohort study that included patients with oral cancer who had received dental implants from 2003 to 2011. The data were collected from a clinical oncology database. The predictor variables included a set of heterogeneous variables grouped into logical sets of demographics, surgical treatment, dental rehabilitation, radiotherapy type, and tumor entity. The primary outcome variable was implant survival; the secondary outcome variable was peri-implantitis. The descriptive statistics, survival time analysis, Kaplan-Meier implant survival curves, and Cox hazard proportional modeling were computed. The study sample included 59 patients with oral cancer (20 women [33.9%], 39 men [66.1%]; mean age at tumor diagnosis, 55 years), who had had 272 implants placed during the study period. The mean follow-up period was 30.9 months (range 3 to 82). Of the 272 implants, 269 (98.9%) and 264 (97.1%) had survived for 2 and 5 years, respectively. D...Continue Reading

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Citations

Jan 3, 2016·Practical Radiation Oncology·Mélanie RouersGeorges Noel
Oct 18, 2016·BioMed Research International·D RolskiE Mierzwińska-Nastalska
Sep 19, 2018·The Bulletin of Tokyo Dental College·Gentaro MoriYasutomo Yajima
Dec 7, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Ruiliu LiYang He
Jan 22, 2021·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Sarah Kay Youny LeeJonathan P Wiens
Jul 28, 2021·The Journal of Prosthetic Dentistry·Dominic P LavertyGeoffrey Bateman

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