Titanium osseointegrated implants combined with hyperbaric oxygen therapy in previously irradiated mandibles
Statement of problem. Treatment for head and neck malignancies commonly involves radiation therapy. As a result of this therapy the vascular supply to irradiated structures is altered and results in decreased tissue perfusion. In addition to vascular changes, bony structures undergo a reduction in o...
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| Veröffentlicht in: | The Journal of prosthetic dentistry 1997-02, Vol.77 (2), p.177-183 |
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| container_title | The Journal of prosthetic dentistry |
| container_volume | 77 |
| creator | Arcuri, Michael R. Fridrich, Kirk L. Funk, Gerry F. Tabor, Michael W. LaVelle, William E. |
| description | Statement of problem. Treatment for head and neck malignancies commonly involves radiation therapy. As a result of this therapy the vascular supply to irradiated structures is altered and results in decreased tissue perfusion. In addition to vascular changes, bony structures undergo a reduction in osteoblastic and osteoclastic activity. These tissue alterations, especially in the mandible, enhance the risk of osteoradionecrosis. To avoid this occurrence, many patients who have undergone radiation therapy do not receive elective preprosthetic surgeries, including implant therapy.
Purpose of study and methods. This report presents the preliminary results of placing 18 titanium screw implants into previously irradiated mandibles in conjunction with hyperbaric oxygen therapy.
Results. Of the 18 implants placed, 17 (94%) were judged to be osseointegrated at the abutment connection. One implant did not receive an abutment and was “put to sleep.” The remaining 16 (88%) were used for prosthetic rehabilitation.
Conclusion. The use of implants in irradiated tissues may provide a means of enhancing prosthetic rehabilitation while reducing the risk of tissue trauma that may develop into osteoradionecrosis. (J Prosthet Dent 1997;77:177-83.) |
| doi_str_mv | 10.1016/S0022-3913(97)70232-4 |
| format | Article |
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Purpose of study and methods. This report presents the preliminary results of placing 18 titanium screw implants into previously irradiated mandibles in conjunction with hyperbaric oxygen therapy.
Results. Of the 18 implants placed, 17 (94%) were judged to be osseointegrated at the abutment connection. One implant did not receive an abutment and was “put to sleep.” The remaining 16 (88%) were used for prosthetic rehabilitation.
Conclusion. The use of implants in irradiated tissues may provide a means of enhancing prosthetic rehabilitation while reducing the risk of tissue trauma that may develop into osteoradionecrosis. (J Prosthet Dent 1997;77:177-83.)</description><identifier>ISSN: 0022-3913</identifier><identifier>EISSN: 1097-6841</identifier><identifier>DOI: 10.1016/S0022-3913(97)70232-4</identifier><identifier>PMID: 9051606</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adolescent ; Aged ; Bone Remodeling - radiation effects ; Cranial Irradiation - adverse effects ; Dental Implantation, Endosseous ; Dental Prosthesis, Implant-Supported ; Female ; Follow-Up Studies ; Head and Neck Neoplasms - radiotherapy ; Humans ; Hyperbaric Oxygenation ; Male ; Mandible - blood supply ; Mandible - radiation effects ; Mandible - surgery ; Mandibular Diseases - etiology ; Mandibular Diseases - prevention & control ; Middle Aged ; Osseointegration - radiation effects ; Osteoradionecrosis - etiology ; Osteoradionecrosis - prevention & control ; Retrospective Studies ; Titanium ; Treatment Outcome</subject><ispartof>The Journal of prosthetic dentistry, 1997-02, Vol.77 (2), p.177-183</ispartof><rights>1997 Editorial Council of The Journal of Prosthetic Dentistry.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-3f41c3cff969963b25928e38a2cdc0e87852da70296c8a6274c90cce742456363</citedby><cites>FETCH-LOGICAL-c391t-3f41c3cff969963b25928e38a2cdc0e87852da70296c8a6274c90cce742456363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022391397702324$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9051606$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arcuri, Michael R.</creatorcontrib><creatorcontrib>Fridrich, Kirk L.</creatorcontrib><creatorcontrib>Funk, Gerry F.</creatorcontrib><creatorcontrib>Tabor, Michael W.</creatorcontrib><creatorcontrib>LaVelle, William E.</creatorcontrib><title>Titanium osseointegrated implants combined with hyperbaric oxygen therapy in previously irradiated mandibles</title><title>The Journal of prosthetic dentistry</title><addtitle>J Prosthet Dent</addtitle><description>Statement of problem. Treatment for head and neck malignancies commonly involves radiation therapy. As a result of this therapy the vascular supply to irradiated structures is altered and results in decreased tissue perfusion. In addition to vascular changes, bony structures undergo a reduction in osteoblastic and osteoclastic activity. These tissue alterations, especially in the mandible, enhance the risk of osteoradionecrosis. To avoid this occurrence, many patients who have undergone radiation therapy do not receive elective preprosthetic surgeries, including implant therapy.
Purpose of study and methods. This report presents the preliminary results of placing 18 titanium screw implants into previously irradiated mandibles in conjunction with hyperbaric oxygen therapy.
Results. Of the 18 implants placed, 17 (94%) were judged to be osseointegrated at the abutment connection. One implant did not receive an abutment and was “put to sleep.” The remaining 16 (88%) were used for prosthetic rehabilitation.
Conclusion. The use of implants in irradiated tissues may provide a means of enhancing prosthetic rehabilitation while reducing the risk of tissue trauma that may develop into osteoradionecrosis. (J Prosthet Dent 1997;77:177-83.)</description><subject>Adolescent</subject><subject>Aged</subject><subject>Bone Remodeling - radiation effects</subject><subject>Cranial Irradiation - adverse effects</subject><subject>Dental Implantation, Endosseous</subject><subject>Dental Prosthesis, Implant-Supported</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Head and Neck Neoplasms - radiotherapy</subject><subject>Humans</subject><subject>Hyperbaric Oxygenation</subject><subject>Male</subject><subject>Mandible - blood supply</subject><subject>Mandible - radiation effects</subject><subject>Mandible - surgery</subject><subject>Mandibular Diseases - etiology</subject><subject>Mandibular Diseases - prevention & control</subject><subject>Middle Aged</subject><subject>Osseointegration - radiation effects</subject><subject>Osteoradionecrosis - etiology</subject><subject>Osteoradionecrosis - prevention & control</subject><subject>Retrospective Studies</subject><subject>Titanium</subject><subject>Treatment Outcome</subject><issn>0022-3913</issn><issn>1097-6841</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkElPwzAQhS0EgrL8BKScEBwCXhInPiFUsUmVOABny3EmdFA2bLfQf4-7iCsnazzvzcz7CDln9JpRJm9eKeU8FYqJS1VcFZQLnmZ7ZMKoKlJZZmyfTP4kR-TY-09KaZkX7JAcKpozSeWEtG8YTI-LLhm8hwH7AB_OBKgT7MbW9MEndugq7OPPN4Z5Ml-N4Crj0CbDz-oD-iTMwZlxlWCfjA6WOCx8GyvnTI2bSZ3pa6xa8KfkoDGth7Pde0LeH-7fpk_p7OXxeXo3S228NaSiyZgVtmmUVEqKiueKlyBKw21tKZRFmfPaxMRK2tJIXmRWUWuhyHiWSyHFCbnYzh3d8LUAH3SH3kIb80C8TkcHF1kpojDfCq2L8R00enTYGbfSjOo1Zb2hrNcItSr0hrLOou98t2BRdVD_uXZYY_9224eYcongtLcIvYUaHdig6wH_2fALRw6Ofg</recordid><startdate>19970201</startdate><enddate>19970201</enddate><creator>Arcuri, Michael R.</creator><creator>Fridrich, Kirk L.</creator><creator>Funk, Gerry F.</creator><creator>Tabor, Michael W.</creator><creator>LaVelle, William E.</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8BQ</scope><scope>8FD</scope><scope>FR3</scope><scope>JG9</scope><scope>KR7</scope></search><sort><creationdate>19970201</creationdate><title>Titanium osseointegrated implants combined with hyperbaric oxygen therapy in previously irradiated mandibles</title><author>Arcuri, Michael R. ; Fridrich, Kirk L. ; Funk, Gerry F. ; Tabor, Michael W. ; LaVelle, William E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-3f41c3cff969963b25928e38a2cdc0e87852da70296c8a6274c90cce742456363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Aged</topic><topic>Bone Remodeling - radiation effects</topic><topic>Cranial Irradiation - adverse effects</topic><topic>Dental Implantation, Endosseous</topic><topic>Dental Prosthesis, Implant-Supported</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Head and Neck Neoplasms - radiotherapy</topic><topic>Humans</topic><topic>Hyperbaric Oxygenation</topic><topic>Male</topic><topic>Mandible - blood supply</topic><topic>Mandible - radiation effects</topic><topic>Mandible - surgery</topic><topic>Mandibular Diseases - etiology</topic><topic>Mandibular Diseases - prevention & control</topic><topic>Middle Aged</topic><topic>Osseointegration - radiation effects</topic><topic>Osteoradionecrosis - etiology</topic><topic>Osteoradionecrosis - prevention & control</topic><topic>Retrospective Studies</topic><topic>Titanium</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arcuri, Michael R.</creatorcontrib><creatorcontrib>Fridrich, Kirk L.</creatorcontrib><creatorcontrib>Funk, Gerry F.</creatorcontrib><creatorcontrib>Tabor, Michael W.</creatorcontrib><creatorcontrib>LaVelle, William E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>METADEX</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Materials Research Database</collection><collection>Civil Engineering Abstracts</collection><jtitle>The Journal of prosthetic dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arcuri, Michael R.</au><au>Fridrich, Kirk L.</au><au>Funk, Gerry F.</au><au>Tabor, Michael W.</au><au>LaVelle, William E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Titanium osseointegrated implants combined with hyperbaric oxygen therapy in previously irradiated mandibles</atitle><jtitle>The Journal of prosthetic dentistry</jtitle><addtitle>J Prosthet Dent</addtitle><date>1997-02-01</date><risdate>1997</risdate><volume>77</volume><issue>2</issue><spage>177</spage><epage>183</epage><pages>177-183</pages><issn>0022-3913</issn><eissn>1097-6841</eissn><abstract>Statement of problem. Treatment for head and neck malignancies commonly involves radiation therapy. As a result of this therapy the vascular supply to irradiated structures is altered and results in decreased tissue perfusion. In addition to vascular changes, bony structures undergo a reduction in osteoblastic and osteoclastic activity. These tissue alterations, especially in the mandible, enhance the risk of osteoradionecrosis. To avoid this occurrence, many patients who have undergone radiation therapy do not receive elective preprosthetic surgeries, including implant therapy.
Purpose of study and methods. This report presents the preliminary results of placing 18 titanium screw implants into previously irradiated mandibles in conjunction with hyperbaric oxygen therapy.
Results. Of the 18 implants placed, 17 (94%) were judged to be osseointegrated at the abutment connection. One implant did not receive an abutment and was “put to sleep.” The remaining 16 (88%) were used for prosthetic rehabilitation.
Conclusion. The use of implants in irradiated tissues may provide a means of enhancing prosthetic rehabilitation while reducing the risk of tissue trauma that may develop into osteoradionecrosis. (J Prosthet Dent 1997;77:177-83.)</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>9051606</pmid><doi>10.1016/S0022-3913(97)70232-4</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Aged Bone Remodeling - radiation effects Cranial Irradiation - adverse effects Dental Implantation, Endosseous Dental Prosthesis, Implant-Supported Female Follow-Up Studies Head and Neck Neoplasms - radiotherapy Humans Hyperbaric Oxygenation Male Mandible - blood supply Mandible - radiation effects Mandible - surgery Mandibular Diseases - etiology Mandibular Diseases - prevention & control Middle Aged Osseointegration - radiation effects Osteoradionecrosis - etiology Osteoradionecrosis - prevention & control Retrospective Studies Titanium Treatment Outcome |
| title | Titanium osseointegrated implants combined with hyperbaric oxygen therapy in previously irradiated mandibles |
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