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Supportive Care in Cancer

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Open Access 01-12-2020 | Tooth Extraction | Original Article

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

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

Published in: Supportive Care in Cancer | Issue 12/2020

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.

Available only for authorised users

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Title: Mandibular dental implant placement immediately after teeth removal in head and neck cancer patients
Authors: Jamie M. Alberga
Anke Korfage
Ilse Bonnema
Max J. H. Witjes
Arjan Vissink
Gerry M. Raghoebar
Publication date: 01-12-2020
Publisher: Springer Berlin Heidelberg
Keywords: Tooth Extraction
Denture
Tooth Extraction
Radiotherapy
Published in: Supportive Care in Cancer / Issue 12/2020
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-020-05431-y

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