Implant-supported telescopic restorations in maxillofacial prosthetics.
Eight partially irradiated oral cancer patients were treated using either mandibular implant and mucosa-supported telescopic coping prostheses or a restoration that was completely implant-supported with telescopic copings. Both types of restorations provided sufficient positional stability and peri-implant hygiene, and functional and esthetic improvement. However, only the completely implant-supported telescopic prosthesis avoided soft tissue ulcers that had the potential for the development of osteoradionecrosis. This type of restoration can especially be recommended for irradiated patients.
Weischer
T
T
Department of Oral and Maxillofacial Surgery, University-GHS-Essen, Germany.
Schettler
D
D
Mohr
C
C
D016371:Cranial Irradiation / Q000009:adverse effects; D003774:Dental Plaque Index; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention / Q000295:instrumentation; D019094:Dental Prosthesis, Implant-Supported; D003828:Denture, Overlay / Q000009:adverse effects; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000534:rehabilitation; D019226:Oral Ulcer / Q000209:etiology; D009959:Oropharyngeal Neoplasms / Q000534:rehabilitation; D017060:Patient Satisfaction; D010512:Periodontal Index