Computerized implantology for the irradiated patient.
Reconstruction of the irradiated head and neck cancer patient continues to be a challenge. Conventional prosthodontics can be very unpredictable and difficult in these patients. Implant-supported fixed prostheses are good alternatives. It is well-accepted that maxillofacial surgery for the irradiated head and neck cancer patients should be performed in an atraumatic fashion to minimize postoperative complications. We propose the use of computer generated surgical guides and flapless surgery for the placement of dental implants in the irradiated head and neck cancer patient. With these techniques, implants can be placed in an atraumatic, predictable, and accurate manner, according to a prosthetically driven treatment plan.
Horowitz
Andrew
A
Columbia University, College of Dental Medicine, New York, NY, USA. ahorowitz@oralsurgeryny.com
Orentlicher
Gary
G
Goldsmith
Douglas
D
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy; D017076:Computer-Aided Design; D016371:Cranial Irradiation / Q000009:adverse effects*; D003758:Dental Implantation, Endosseous / Q000379:methods*; D017267:Dental Prosthesis Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D008953:Models, Anatomic; D013280:Stomatitis / Q000209:etiology; D025321:Surgery, Computer-Assisted; D014062:Tongue Neoplasms / Q000532:radiotherapy; D014987:Xerostomia / Q000209:etiology