RESUMO
BACKGROUND: Patients who undergo surgical management of oral cancer may greatly benefit from an implant-supported prosthesis. This study reports on the clinical experience of dental implant placement in patients following resection of oral cancer over a 15-year period. Controversies including the use of dental implants in irradiated tissues, and hyperbaric oxygen treatment will also be discussed. METHODS: Thirty-one patients who had dental implants placed as part of their oral rehabilitation between 1992 and 2007 were investigated. Demographic data and factors including implant survival, type of prosthesis provided, radiotherapy and the hyperbaric oxygen therapy were analysed. RESULTS: In this retrospective study, there was a retention rate of 110 implants from a total of 115 implants placed. A high rate of implant retention was found, with 5 implant failures from a total of 115 implants placed. The 5 failed implants occurred in free flap bone that had been irradiated. CONCLUSIONS: Dental implants provide an important role in the oral rehabilitation of oral cancer patients. There may be an increased risk of implant failure in free flap bone that has been irradiated.
Assuntos
Implantes Dentários , Neoplasias Maxilomandibulares/cirurgia , Reabilitação Bucal , Adulto , Idoso , Transplante Ósseo , Implantes Dentários/classificação , Prótese Dentária Fixada por Implante , Falha de Restauração Dentária , Planejamento de Dentadura , Retenção de Dentadura , Feminino , Seguimentos , Humanos , Oxigenoterapia Hiperbárica , Neoplasias Maxilomandibulares/radioterapia , Neoplasias Maxilomandibulares/reabilitação , Masculino , Mandíbula/efeitos da radiação , Mandíbula/cirurgia , Maxila/efeitos da radiação , Maxila/cirurgia , Pessoa de Meia-Idade , Osseointegração/fisiologia , Peri-Implantite/etiologia , Dosagem Radioterapêutica , Radioterapia Adjuvante , Estudos Retrospectivos , Retalhos Cirúrgicos , Análise de Sobrevida , Adulto JovemRESUMO
Access and affordability of dental care can be problematic for some in the Australian community. Therefore, dental tourism is increasingly becoming more attractive to some patients due to decreased expense, increased convenience and immediacy of treatment. However, there are significant issues for both clinician and patient in regards to dental tourism. Lack of accountability and regulation are the main issues and this is particularly evident when complications occur. This paper presents five cases where complications have arisen in the setting of dental tourism.