A Clinical Evaluation of Implants in Irradiated Oral Cancer Patients-Reference-Cited by-同舟云学术

A Clinical Evaluation of Implants in Irradiated Oral Cancer Patients

Published:2002-12 Issue:12 Volume:81 Page:856-859
ISSN:0022-0345
Container-title:Journal of Dental Research
language:en
Short-container-title:J Dent Res

Author:

Visch L.L.¹²³,van Waas M.A.J.¹²³,Schmitz P.I.M.¹²³,Levendag P.C.¹²³

Affiliation:

1. Department of Oral Function, Academic Center for Dentistry, Louwesweg 1, 1066EA Amsterdam, The Netherlands;

2. Department of Trials and Statistics, University Hospital Rotterdam-Daniel, Rotterdam, The Netherlands; and

3. Department of Radiation Oncology, University Hospital Rotterdam-Daniel, Rotterdam, The Netherlands;

Abstract

In this prospective study, we determined the effects of the time interval between irradiation and implant therapy, implant location, bone-resection surgery, and irradiation dose on implant survival. We analyzed the survival of 446 implants inserted after radiotherapy over a period of up to 14 years in 130 consecutive patients treated for oral cancer. The 10-year overall Kaplan-Meier implant survival percentage is 78%. The difference in survival percentages of implants inserted < 1 year and ≥ 1 year after irradiation (76% and 81%, respectively) is not significant. We concluded that implant survival is significantly influenced by the location (maxilla or mandible, 59% and 85%, respectively; p = 0.001), by the incidence of bone-resection surgery in the jaw where the implant was installed (p = 0.04), and by the irradiation dose at the implant site (< 50 Gray or ≥ 50 Gray, p = 0.05).

Publisher

SAGE Publications

Subject

General Dentistry

Link

http://journals.sagepub.com/doi/pdf/10.1177/154405910208101212

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5. Objectives: There are many challenges and discussions about how and when Dental Implants and the survival rate of the implant are also very important. Therefore, the present study aimed to evaluate and determine the survival rate of implants in patients with Oral Cavity Cancers who received radiotherapy versus those who did not. Methods: In this systematic review and meta-analysis study, all English-language full-text articles were published in international databases that listed the words Dental Implants, Oral Cavity Cancers in PubMed, Scopus, Science Direct databases, and Embase were reviewed between January 2012 and May 2022. Data analysis was performed using STATA.V16 software. Results: The implant survival rate was 87.45% for non-irradiated jaws. The odds ratio for the survival rate of dental implants between irradiated and non-irradiated groups was 1.64 (OR, 1.64 95% CI 1.14, 2.15; p<0.01). Conclusions: The present meta-analysis showed that in patients with Oral Cavity Cancers who were irradiated, the implant survival rate was 81.35%. In patients who were not irradiated, the survival rate of implants was high; it should be noted that this difference is not very significant;MED BALEAR;2023