Mandibular dental implant placement immediately after teeth removal in head and neck cancer patients

Jamie M. Alberga*, Anke Korfage, Ilse Bonnema, Max J. H. Witjes, Arjan Vissink, Gerry M. Raghoebar

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)
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Abstract

BACKGROUND: Little is known about immediate implant placement in head and neck cancer patients. We studied implant survival and functional outcomes of overdentures fabricated on implants placed immediately after removal of the lower dentition during ablative surgery or preceding primary radiotherapy (RT).

METHODS: Inclusion criteria were primary head and neck cancer, dentate lower jaw, and indication for removal of remaining teeth. Two implants to support a mandibular overdenture were placed immediately after extraction of the dentition during ablative surgery, or prior to starting primary radiotherapy. Standardized questionnaires and clinical assessments were conducted (median follow-up 18.5 months, IQR 13.3).

RESULTS: Fifty-eight implants were placed in 29 patients. Four implants were lost (implant survival rate 93.1%). In 9 patients, no functional overdenture could be made. All patients were satisfied with their dentures.

CONCLUSIONS: Combining dental implant placement with removal of remaining teeth preceding head neck oncology treatment results in a favorable treatment outcome.

Original languageEnglish
Pages (from-to)5911-5918
Number of pages8
JournalSupportive Care in Cancer
Issue number12
DOIs
Publication statusPublished - 11-Apr-2020

Keywords

  • Dental implants
  • Head and neck cancer
  • Tooth extraction
  • Radiation therapy
  • Patient satisfaction
  • FRESH EXTRACTION SOCKETS
  • ABLATIVE TUMOR SURGERY
  • ORAL-CANCER
  • FOLLOW-UP
  • PROSTHODONTIC REHABILITATION
  • IRRADIATED PATIENTS
  • OVERDENTURES
  • ONCOLOGY
  • SURVIVAL
  • BENEFITS

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