Prosthodontic management of abnormal tooth development secondary to chemoradiotherapy: a clinical report.
Late effects of chemoradiotherapy for childhood cancer treatment include developmental disturbances of the maxillofacial and dentoalveolar structures. Prosthodontic rehabilitation of these patients presents a significant challenge in restoring function, esthetics, and comfort. This clinical report describes the prosthodontic management of a young patient who received chemoradiotherapy for neuroblastoma and subsequently developed tooth abnormalities. Osseointegrated implants and an implant-connecting bar along with an attachment system were used to provide retention, support, and stability of a removable mandibular overdenture opposing a conventional maxillary complete denture.
Department of Oral and Maxillofacial Surgery/Hospital Dentistry, University of Michigan School of Dentistry, Ann Arbor, MI 48109-0018, USA. szwetch@umich.edu
Samuel R
SR
Zwetchkenbaum
Won-suck
WS
Oh
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002648:Child; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003781:Denture Retention; D003825:Denture, Complete, Immediate; D003826:Denture, Complete, Lower; D003827:Denture, Complete, Upper; D003828:Denture, Overlay; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D009065:Mouth Rehabilitation; D020360:Neoadjuvant Therapy; D009447:Neuroblastoma / Q000188:drug therapy* / Q000532:radiotherapy; D009805:Odontogenesis / Q000187:drug effects* / Q000528:radiation effects; D014071:Tooth Abnormalities / Q000139:chemically induced* / Q000209:etiology; D014916:Whole-Body Irradiation
D015921:Dental Implants