Mandibular endosseous implants and autogenous bone grafting in irradiated tissue: a 10-year retrospective study.
Nineteen patients received tumoricidal doses of radiation and subsequently underwent mandibular endosseous implant reconstruction, followed by dental rehabilitation with complete arch fixed osseoprostheses. Eight of the 19 patients also underwent autogenous bone graft reconstruction for mandibular discontinuity. A surgical and prosthetic protocol for irradiated head and neck oncology patients is presented. The 10-year retrospective study of 19 consecutively treated patients revealed an endosseous implant survival of 99%, dental osseoprosthesis continuous service of 100%, and successful bone graft reconstruction of 89%.
Keller
E E
EE
Mayo Medical School, Mayo Medical Center, Rochester, Minnesota 55905, USA.
Tolman
D E
DE
Zuck
S L
SL
Eckert
S E
SE
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016025:Bone Transplantation / Q000009:adverse effects; D003724:Dental Arch / Q000528:radiation effects / Q000601:surgery; D003758:Dental Implantation, Endosseous / Q000009:adverse effects; D015921:Dental Implants / Q000009:adverse effects; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D008334:Mandible / Q000528:radiation effects / Q000601:surgery*; D008875:Middle Aged; D016348:Osseointegration; D010027:Osteotomy; D011878:Radiotherapy / Q000009:adverse effects; D011879:Radiotherapy Dosage; D012189:Retrospective Studies; D014182:Transplantation, Autologous; D016896:Treatment Outcome
D015921:Dental Implants