Functional criteria for mandibular implant placement post resection and reconstruction for cancer.
BACKGROUND
Osseointegrated implants used in the mandible post resection and reconstruction for cancer represents a treatment option with the potential for functional improvement and enhanced quality of life. Unfortunately, protocols for their use in this patient population have been empirical and technique-driven with the assumption that they will overcome most, if not all, functional deficits encountered.


OBJECTIVE
The article reviews the salient oral physiologic factors for this group of patients and presents a rational approach and functional criteria for patient selection and implant placement. Other considerations discussed include: timing of implant placement, irradiated and compromised tissues, patient motivation, and tumor prognosis.


CONCLUSIONS
These principles, if followed, may enhance realistic functional outcomes for this patient population.
Marunick
M T
MT
Department of Otolaryngology Head and Neck Surgery, Wayne State University, Detroit, MI 48201, USA.
Roumanas
E D
ED
D003758:Dental Implantation, Endosseous / Q000379:methods*; D019094:Dental Prosthesis, Implant-Supported; D003830:Denture, Partial, Fixed; D006801:Humans; D008334:Mandible / Q000503:physiopathology / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D018579:Patient Selection; D011182:Postoperative Care / Q000379:methods*; D011379:Prognosis; D013997:Time Factors