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Clinical Oral Investigations

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Open Access 17-08-2022 | Denture | Original Article

Clinical performance of different types of dental prosthesis in patients with head and neck tumors—a retrospective cohort study

Authors: Karina Zierden, Juliane Wöstmann, Bernd Wöstmann, Peter Rehmann

Published in: Clinical Oral Investigations | Issue 12/2022

Abstract

Objectives

To investigate how different types of dental prosthesis perform in patients with head and neck tumors.

Materials and methods

In this retrospective clinical cohort study, the impact of different patient-related factors was analyzed as influencing factors on the survival probability of dental prosthesis using Kaplan–Meier estimate. For analysis, the dental prosthesis was divided into groups: group 1 (fixed dental prosthesis), group 2 (removable dental prosthesis), group 3 (implant-supported dental prosthesis), and group 4 (prostheses anchored using wrought wire clasps and obturators). The incidental aftercare measures were also evaluated.

Results

Two hundred seventy-nine restorations were observed (mean observation: 2.7 ± 3.0 years, max.14.8 years) out of which 49 (17.6%) had to be replaced during the observation. After 5 years, 100% of group 1 restorations, 79.9% of group 2 restorations, 91.4% of group 3 restorations, and 30% of group 4 restorations were still functional. Four hundred eighty-eight dental implants were observed, of which 77 (15.8%) failed.

Conclusions

Groups 1, 2, and 3 restorations showed good survival times after 5 years in function, whereas group 4 presented the worst survival times. Group 2 restorations showed the highest amount of necessary aftercare measures.

Clinical relevance

The current investigation shows that groups 1, 2, and 3 restorations should be preferred in the prosthetic treatment planning of patients with head and neck tumors. A treatment with group 4 restorations should only be considered if no other prosthetic treatment is possible or as temporary treatment.

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Title: Clinical performance of different types of dental prosthesis in patients with head and neck tumors—a retrospective cohort study
Authors: Karina Zierden
Juliane Wöstmann
Bernd Wöstmann
Peter Rehmann
Publication date: 17-08-2022
Publisher: Springer Berlin Heidelberg
Keywords: Denture
Head and Neck Cancer
Published in: Clinical Oral Investigations / Issue 12/2022
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-022-04673-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical performance of different types of dental prosthesis in patients with head and neck tumors—a retrospective cohort study

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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