Follow‐up of need for dental treatment in 126 patients who have received radiation treatment to the head and neck region

Rinstad, Tamara; Bergqvist, Birgitta; Mattsson, Ulf

doi:10.1111/idh.12426

Cited by 6 publications

(4 citation statements)

References 52 publications

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“…Oral hygiene maintenance and absence of signs of inflammation in the peri-implant region is stated to be of paramount importance for long-term success of oral implants (Jepsen et al, 2015;Tonetti et al, 2015). In this investigation, HNC-TR and HNC-TR/RT did not show significant differences in terms of mPI, mBI and PD ,but both groups showed higher scores compared to C. Poor oral hygiene, as consequence of intraoral surgical ablations or irradiationcaused effects (e.g., xerostomia) is described in literature (Rinstad et al, 2020). Therefore, prophylactic and maintaining care programs for HNC patients are deemed necessary.…”

Section: Ta B L Ementioning

confidence: 60%

Retrospective long‐term clinical evaluation of implant‐prosthetic rehabilitations after head and neck cancer therapy

Pieralli

Spies

Schweppe

et al. 2021

Clinical Oral Implants Res

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Objective To assess clinical and patient‐reported outcomes of implant‐prosthetic rehabilitations in patients with a history of head–neck cancer (HNC), treated with tumor resection without (TR) or with adjuvant radiotherapy (TR/RT). A healthy cohort rehabilitated with the same reconstructive protocols served as control group (C). Materials and Methods A total of 28 women and 29 men were considered in the present retrospective study. Participants received 322 implants, finally supporting 79 prosthetic reconstructions. Primary outcome was the assessment of implant and prosthetic survival rates. Furthermore peri‐implant soft tissue parameters (attached peri‐implant mucosa, AM; modified bleeding and plaque indices, mBI/mPI; probing depth, PD) and prosthetic technical complications were documented. Patient‐reported outcome measures (PROMs) by means of visual analog scales (VAS) and the Oral Health Impact Profile German 14 form (OHIP G14) were collected. For statistical purposes Chi‐square and Mann–Whitney‐U‐Test were adapted. Results After a mean follow‐up of 81.2 ± 50.3 months, implant survival rate was 98.1% (HNC‐TR), 98.2% (HNC‐TR/RT) and 100.0% (C), respectively (four implants failed in the HNC groups). HNC‐TR/RT showed significant higher mPI and mBI compared to C. Within HNC‐TR/RT, vestibuloplasty significantly reduced mBI and PD values. No failures occurred at the prosthetic level. Overall, higher VAS scores were reported for bar‐ compared with Locator‐retained prostheses. Furthermore, increased OHIP G14 values resulted for HNC‐TR/RT. Conclusions High survival rates on implant and prosthetic level were observed. The use of soft tissue grafts resulted in stabilization of the peri‐implant mucosa in irradiated patients. In terms of retention and chewing ability, participants preferred bars over Locator attachments.

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Section: Ta B L Ementioning

confidence: 60%

Retrospective long‐term clinical evaluation of implant‐prosthetic rehabilitations after head and neck cancer therapy

Pieralli

Spies

Schweppe

et al. 2021

Clinical Oral Implants Res

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“…Em um estudo realizado na Suécia, foram acompanhados 126 pacientes com câncer de cabeça e pescoço durante dez anos. Observou-se que, antes do tratamento radioterápico, 23 dentes desses indivíduos necessitavam tratamento restaurador e que, após a radiação, esse número aumentou para 281 dentes em 67 pacientes 20 . No presente estudo, nenhum paciente apresentou cárie de radiação, o que pode ter ocorrido pelo tempo de acompanhamento limitado para observar a lesão, como também pelo tamanho amostral, visto que apenas oito pacientes haviam realizado radioterapia na região de cabeça e pescoço.…”

Section: Discussionunclassified

Prevalência de Manifestações Bucais em Pacientes com Câncer Assistidos em um Programa de Atenção Domiciliar na Cidade de Pelotas-RS

Orcina

Jaccottet

Savian

2021

Rev. Bras. Cancerol.

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Introdução: O município de Pelotas-RS dispõe do Programa de Internação Domiciliar Interdisciplinar (PIDI) implantado no Hospital Escola da Universidade Federal de Pelotas com a presença de cirurgiões-dentistas em sua equipe. O PIDI atende a pacientes oncológicos em cuidados paliativos. Objetivo: Avaliar a prevalência de manifestações bucais em pacientes assistidos por esse programa, as características epidemiológicas da referida população e verificar a associação das manifestações com o tipo de câncer e tratamento antineoplásico recebido. Método: Estudo transversal retrospectivo, com dados secundários coletados dos prontuários odontológicos de pacientes atendidos no período de abril de 2018 a setembro de 2019. O teste qui-quadrado foi aplicado com um nível de 5% de significância (p ≤0,05) atribuído aos resultados significativos. Resultados: As manifestações bucais foram encontradas 47 vezes nos 61 pacientes avaliados, sendo que alguns apresentaram mais de uma ocorrência. Pacientes que apresentavam câncer primário no sistema digestivo foram os mais acometidos por manifestações bucais. As mais prevalentes foram xerostomia (26,2%); candidíase (18%); mucosite (13,1%); disfagia e disgeusia, que apresentaram o mesmo percentual (9,8%); nenhum paciente desenvolveu carie de radiação. A xerostomia mostrou significância estatística (p≤0,05) na associação com o tipo de câncer. Ao correlacionar as manifestações bucais com o tipo de tratamento recebido, estas não apresentaram significância estatística. Conclusão: Este estudo demonstrou alta prevalência de manifestações bucais na população estudada, reafirmando a importância do cirurgião-dentista na equipe multiprofissional de cuidados paliativos.

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“…Implant passage through a flap did not have a significant effect on peri-implant health; however, the implants also showed slightly increased inflammation values. Rinstad et al reported poor oral hygiene in patients with head and neck cancer due to the consequences of the surgical ablations (e.g., reduced mouth opening, scarring, fibrosis) (Rinstad et al, 2020). Furthermore, there are reports in the literature of increased plaque accumulation and soft tissue inflammation in patients with xerostomia after irradiation (Pieralli et al, 2021).…”

Section: Impact Of Irradiation and Soft Tissue On Peri-implant Inflam...mentioning

confidence: 99%

Peri‐implant health after microvascular head and neck reconstruction—A retrospective analysis

Hoffmann,

Büsch,

Moratin

et al. 2023

Clinical Oral Implants Res

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IntroductionProsthodontic rehabilitation after reconstruction with microvascular revascularized free flaps following ablative tumor surgery is challenging due to the altered anatomical and functional conditions. The aim of this retrospective study was to determine whether the type of graft and the type of peri‐implant tissue have an effect on peri‐implant inflammatory parameters and implant survival.Materials and MethodsPatients who received a free flap reconstruction with subsequent implant‐prosthetic rehabilitation between 2010 and 2022 were retrospectively included. The primary outcome variable was the probing depth (PPD) at a minimum of 1 year after completion of prosthetic restoration. Predictive variables were type of free flap, emergence profile, and history of radiation.ResultsSeventy‐one patients after free flap reconstruction were included in the analysis. At a minimum of 24 months after implant insertion the primary outcome, PPD showed no clinically relevant differences between the types of free flaps used. The emergence profile through a skin island resulted in an increase in BOP compared to native mucosa in the descriptive analysis (p‐value > .05). The analysis showed a 5‐year implant survival of 96.2% (95% CI: 0.929–0.996) in cases without irradiation and 87.6% (95% CI: 0.810–0.948) with irradiation of the region evaluated (p‐value .034).ConclusionFlap and associated soft tissue type had no significant effect on 5‐year implant survival or peri‐implant inflammatory parameters. However, the large heterogeneity of the patient population indicates that further prolonged studies are required for a more differentiated assessment of the long‐term success.

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Follow‐up of need for dental treatment in 126 patients who have received radiation treatment to the head and neck region

Abstract: Objectives:The aim of this study was to evaluate the need for dental treatment, compliance with post-radiation prophylactic care and incidence of long-term complications following radiotherapy to the head and neck.

Cited by 6 publications

References 52 publications

Retrospective long‐term clinical evaluation of implant‐prosthetic rehabilitations after head and neck cancer therapy

Retrospective long‐term clinical evaluation of implant‐prosthetic rehabilitations after head and neck cancer therapy

Prevalência de Manifestações Bucais em Pacientes com Câncer Assistidos em um Programa de Atenção Domiciliar na Cidade de Pelotas-RS

Peri‐implant health after microvascular head and neck reconstruction—A retrospective analysis

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