Immediate mandibular reconstruction and placement of dental implants

Sclaroff, Allen; Haughey, Bruce H.; Paniello, Randal C.

doi:10.1016/0030-4220(94)90085-x

Cited by 98 publications

(61 citation statements)

References 14 publications

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“…Although some authors had successfully used simultaneous osseointegration before radiotherapy, 32 others reported high failure rates. 33,34 In our center, osseointegrated dental implants will be considered in patients with low-grade malignant maxillary tumors as long as the patients are disease free for a long term.…”

Section: Discussionmentioning

confidence: 96%

Osteomyocutaneous peroneal artery perforator flap for reconstruction of composite maxillary defects

et al. 2006

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Section: Discussionmentioning

confidence: 96%

Osteomyocutaneous peroneal artery perforator flap for reconstruction of composite maxillary defects

et al. 2006

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“…Implant survival has been reported to be worse in irradiated mandibles compared with that of mandibles not exposed to radiation. 20,33 In the literature, there is no special information about specific characteristics of resection prostheses. 34 Removable prostheses are generally used in resected patients, because these patients had few remaining teeth.…”

Section: Discussionmentioning

confidence: 99%

“…Decreased implant survival has been reported for irradiated mandibles in previous studies. 20,21 This clinical report presents the rehabilitation of an irradiated patient who has undergone partial mandibulectomy and hemiglossectomy with an implant-supported removable prosthesis for mandible together with tooth supported precision attachment prosthesis for the maxilla.…”

mentioning

confidence: 99%

Rehabilitation of Partial Mandibulectomy Using Implant-Supported Removable Prosthesis in an Irradiated Patient: Case Report

Arslan¹,

Yazicioğlu²,

Güngör³

2015

Turkiye Klinikleri J Dental Sci Cases

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50umor resections of the tongue, mandible, and adjacent tissues cause problems in prosthetic treatment. Resection of the large parts of these tissues may result in several problems such as speech and articulation problems, difficulty in chewing and swallowing, retrusion and deviation of the mandible, difficulty in controlling lips and jaws in excursions, compromised control of salivary secretions or xerostomia, facial asymmetry, sensory loss, and severe cosmetic disfigurement. Implant retained prosthesis is the best treatment option for these patients. Furthermore, this treatment improves the quality of life. However, mandibular resection patients usually undergo radiotherapy, so implants may fail, and treatment plan can be changed. The purpose of this clinical report is to present a patient with a partially resected mandible treated with implant supported prosthesis. A 51 year-old man with partially resected mandible was referred to prosthetic department for the treatment. The patient was treated with implant supported removable prosthesis with presicion attachments as locator and bar retained attachments. For improving the retantion; an extracoronal attachment was placed to remaining canine. And the maxilla was rehabilitated with fixed partial dentures and presicion attachment prosthesis. Finally, the patient was satisfied with the final result of the function and esthetic appearance of the prostheses.K Ke ey y W Wo or rd ds s: : Radiotherapy; mouth neoplasms; dental prosthesis, implant-supported Ö ÖZ ZE ET T Protetik tedavisi yapılmamış mandibular rezeksiyonlu hastalar; estetik açıdan yüz deformitesi, dengeli olmayan bir oklüzyon ve sosyal fonksiyonlarındaki eksiklikten yakınmaktadır. İmplant destekli protez yapımı bu hastaların fonksiyonel ve estetik açıdan tedavisi için etkili bir seçenektir. Ayrıca, bu tip protezler yaşam kalitesinin yükselmesini sağlamaktadır. Bununla birlikte bu hastalar çoğu zaman radyoterapi almak zorunda kalırlar ve implant kaybı nedeniyle protetik planlamanın değişmesi gerekebilir. Bu vaka raporunun amacı, mandibulası kısmi olarak rezeke edilmiş ve radyoterapi almış bir hastaya ait implant destekli protez yapımının sunulmasıdır. 51 yaşındaki erkek hasta protetik tedavi için protez bölümüne başvurdu. Hastaya kron dışı hassas tutucu, lokator ve bar tutuculu hareketli bir implant destekli protez yapılmasına karar verildi. Üst çenenin tedavisinde; sabit parsiyel protez ve hassas tutuculu hareketli protez kullanıldı. Hasta daimi protezin fonksiyonu ve estetik görünümü açısından memnun olarak kliniğimizden ayrıldı.A An na ah ht ta ar r K Ke el li im me el le er r: : Radyoterapi; ağız tümörleri; diş protezi, implant destekli T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J D De en nt ta al l S Sc ci i C Ca as se es s 2 20 01 15 5; ;1 1( (1 1) ): :5 50 0--5 5

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“…The relative advantages of immediate implant placement include preventing the need for a second episode of surgery, the possible need for adjunctive HBO therapy and preventing placement of implants in irradiated tissue. 44 The relative disadvantages of placement at the ablative stage include the diffi culty in assessing the prognosis of the patient and as such the possible need for more surgery if initial treatment is unsuccessful. A study examining implant survival of 435 implants in 93 patients post-resective surgery showed that the mean survival rate (69%) at ten years was lower than in healthy individuals.…”

Section: Discussionmentioning

confidence: 99%

A national survey of oral and maxillofacial surgeons' attitudes towards the treatment and dental rehabilitation of oral cancer patients

et al. 2009

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Immediate mandibular reconstruction and placement of dental implants

Cited by 98 publications

References 14 publications

Osteomyocutaneous peroneal artery perforator flap for reconstruction of composite maxillary defects

Osteomyocutaneous peroneal artery perforator flap for reconstruction of composite maxillary defects

Rehabilitation of Partial Mandibulectomy Using Implant-Supported Removable Prosthesis in an Irradiated Patient: Case Report

A national survey of oral and maxillofacial surgeons' attitudes towards the treatment and dental rehabilitation of oral cancer patients

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