Journal article
Titanium osseointegrated implants combined with hyperbaric oxygen therapy in previously irradiated mandibles
The Journal of prosthetic dentistry, Vol.77(2), pp.177-183
1997
DOI: 10.1016/S0022-3913(97)70232-4
PMID: 9051606
Abstract
Statement of problem. Treatment for head and neck malignancies commonly involves radiation therapy. As a result of this therapy the vascular supply to irradiated structures is altered and results in decreased tissue perfusion. In addition to vascular changes, bony structures undergo a reduction in osteoblastic and osteoclastic activity. These tissue alterations, especially in the mandible, enhance the risk of osteoradionecrosis. To avoid this occurrence, many patients who have undergone radiation therapy do not receive elective preprosthetic surgeries, including implant therapy.
Purpose of study and methods. This report presents the preliminary results of placing 18 titanium screw implants into previously irradiated mandibles in conjunction with hyperbaric oxygen therapy.
Results. Of the 18 implants placed, 17 (94%) were judged to be osseointegrated at the abutment connection. One implant did not receive an abutment and was “put to sleep.” The remaining 16 (88%) were used for prosthetic rehabilitation.
Conclusion. The use of implants in irradiated tissues may provide a means of enhancing prosthetic rehabilitation while reducing the risk of tissue trauma that may develop into osteoradionecrosis. (J Prosthet Dent 1997;77:177-83.)
Details
- Title: Subtitle
- Titanium osseointegrated implants combined with hyperbaric oxygen therapy in previously irradiated mandibles
- Creators
- Michael R. Arcuri - University of Iowa Hospitals and ClinicsKirk L. Fridrich - University of IowaGerry F. Funk - University of Iowa Hospitals and ClinicsMichael W. Tabor - University of Iowa Hospitals and ClinicsWilliam E. LaVelle
- Resource Type
- Journal article
- Publication Details
- The Journal of prosthetic dentistry, Vol.77(2), pp.177-183
- Publisher
- Mosby, Inc
- DOI
- 10.1016/S0022-3913(97)70232-4
- PMID
- 9051606
- ISSN
- 0022-3913
- eISSN
- 1097-6841
- Language
- English
- Date published
- 1997
- Academic Unit
- Oral and Maxillofacial Surgery; Otolaryngology
- Record Identifier
- 9984367644202771
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