Functional Rehabilitation of Mandibular Continuity Defects Using Autologous Bone and Dental Implants – Prognostic Value of Bone Origin, Radiation Therapy and Implant Dimensions
Aim: The aim of this retrospective study was to investigate prognostic parameters for the rehabilitation of mandibular continuity defects with free autologous bone and dental implants for patients after intraoral squamous cell carcinoma. Methods: Following potential prognostic factors for implant su...
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| Veröffentlicht in: | European surgical research 2009-01, Vol.43 (3), p.269-275 |
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| creator | Klein, M.O. Grötz, K.A. Walter, C. Wegener, J. Wagner, W. Al-Nawas, B. |
| description | Aim: The aim of this retrospective study was to investigate prognostic parameters for the rehabilitation of mandibular continuity defects with free autologous bone and dental implants for patients after intraoral squamous cell carcinoma. Methods: Following potential prognostic factors for implant survival were analyzed: bony bed (local bone versus augmented iliac crest bone), radiation dose (no radiation, |
| doi_str_mv | 10.1159/000229027 |
| format | Article |
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Methods: Following potential prognostic factors for implant survival were analyzed: bony bed (local bone versus augmented iliac crest bone), radiation dose (no radiation, <50 Gy, ≥50 Gy) and implant dimensions. Kaplan-Meier survival estimates of the inserted implants were performed. Results: After 5 years, the cumulative survival rate of all investigated implants was 82.6%. Dental implantation into augmented bone resulted in a significantly lower survival rate (78.4%), compared to original local bone (92.8%). Modifications of implant dimensions as well as radiation therapy showed no significant impact on implant survival. Conclusion: For the investigated compromised collective, our results reveal a satisfactory long-term survival rate of dental implants even in augmented bone and underline the value of dental implantation for the functional rehabilitation of cancer patients.</description><identifier>ISSN: 0014-312X</identifier><identifier>EISSN: 1421-9921</identifier><identifier>DOI: 10.1159/000229027</identifier><identifier>PMID: 19628944</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Bone Transplantation ; Carcinoma, Squamous Cell - radiotherapy ; Carcinoma, Squamous Cell - rehabilitation ; Carcinoma, Squamous Cell - surgery ; Dental Implantation - statistics & numerical data ; Dental Restoration Failure ; Female ; Humans ; Kaplan-Meier Estimate ; Male ; Mandible - radiation effects ; Mandible - surgery ; Middle Aged ; Mouth Neoplasms - radiotherapy ; Mouth Neoplasms - rehabilitation ; Mouth Neoplasms - surgery ; Original Paper ; Retrospective Studies ; Transplantation, Autologous</subject><ispartof>European surgical research, 2009-01, Vol.43 (3), p.269-275</ispartof><rights>2009 S. Karger AG, Basel</rights><rights>Copyright 2009 S. Karger AG, Basel.</rights><rights>Copyright (c) 2009 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c333t-f5da7184302d1898724f81160b5c5ede0bbc5222d79388616c585e667a4b4f023</citedby><cites>FETCH-LOGICAL-c333t-f5da7184302d1898724f81160b5c5ede0bbc5222d79388616c585e667a4b4f023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,2423,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19628944$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klein, M.O.</creatorcontrib><creatorcontrib>Grötz, K.A.</creatorcontrib><creatorcontrib>Walter, C.</creatorcontrib><creatorcontrib>Wegener, J.</creatorcontrib><creatorcontrib>Wagner, W.</creatorcontrib><creatorcontrib>Al-Nawas, B.</creatorcontrib><title>Functional Rehabilitation of Mandibular Continuity Defects Using Autologous Bone and Dental Implants – Prognostic Value of Bone Origin, Radiation Therapy and Implant Dimensions</title><title>European surgical research</title><addtitle>Eur Surg Res</addtitle><description>Aim: The aim of this retrospective study was to investigate prognostic parameters for the rehabilitation of mandibular continuity defects with free autologous bone and dental implants for patients after intraoral squamous cell carcinoma. 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Conclusion: For the investigated compromised collective, our results reveal a satisfactory long-term survival rate of dental implants even in augmented bone and underline the value of dental implantation for the functional rehabilitation of cancer patients.</description><subject>Bone Transplantation</subject><subject>Carcinoma, Squamous Cell - radiotherapy</subject><subject>Carcinoma, Squamous Cell - rehabilitation</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Dental Implantation - statistics & numerical data</subject><subject>Dental Restoration Failure</subject><subject>Female</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Mandible - radiation effects</subject><subject>Mandible - surgery</subject><subject>Middle Aged</subject><subject>Mouth Neoplasms - radiotherapy</subject><subject>Mouth Neoplasms - rehabilitation</subject><subject>Mouth Neoplasms - surgery</subject><subject>Original Paper</subject><subject>Retrospective Studies</subject><subject>Transplantation, Autologous</subject><issn>0014-312X</issn><issn>1421-9921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkctu1DAYRi0EokNhwR4hS10gJAL-HTuOl2VKoVJRUdUidpGTOKlLYg--LGbHO_AmPBJPgqcTFYmVZft8x5cPoedA3gJw-Y4QQqkkVDxAK2AUCikpPEQrQoAVJdBvB-hJCLd5yqWQj9EByIrWkrEV-n2abBeNs2rCl_pGtWYyUe0WsBvwZ2V706ZJebx2NhqbTNziEz3oLgZ8HYwd8XGKbnKjSwG_d1bjHMmEjVl4Nm8mZTP55-cv_MW70boQTYe_qinpnf8ucOHNaOwbfKl6sz_56kZ7tdneqRYHPjGztiHvhqfo0aCmoJ8t4yG6Pv1wtf5UnF98PFsfnxddWZaxGHivBNSsJLSHWtaCsqEGqEjLO657Tdq245TSXsiyriuoOl5zXVVCsZYNhJaH6NXeu_HuR9IhNrMJnZ7ydXR-bSNKRrigIDJ59B9565LPXxoaIJITCVxApl7vqc67ELwemo03s_LbDDW7Hpv7HjP7cjGmdtb9P3IpLgMv9sB35Uft74El_xdBn6L8</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Klein, M.O.</creator><creator>Grötz, K.A.</creator><creator>Walter, C.</creator><creator>Wegener, J.</creator><creator>Wagner, W.</creator><creator>Al-Nawas, B.</creator><general>S. 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Methods: Following potential prognostic factors for implant survival were analyzed: bony bed (local bone versus augmented iliac crest bone), radiation dose (no radiation, <50 Gy, ≥50 Gy) and implant dimensions. Kaplan-Meier survival estimates of the inserted implants were performed. Results: After 5 years, the cumulative survival rate of all investigated implants was 82.6%. Dental implantation into augmented bone resulted in a significantly lower survival rate (78.4%), compared to original local bone (92.8%). Modifications of implant dimensions as well as radiation therapy showed no significant impact on implant survival. Conclusion: For the investigated compromised collective, our results reveal a satisfactory long-term survival rate of dental implants even in augmented bone and underline the value of dental implantation for the functional rehabilitation of cancer patients.</abstract><cop>Basel, Switzerland</cop><pub>S. 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| identifier | ISSN: 0014-312X |
| ispartof | European surgical research, 2009-01, Vol.43 (3), p.269-275 |
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| subjects | Bone Transplantation Carcinoma, Squamous Cell - radiotherapy Carcinoma, Squamous Cell - rehabilitation Carcinoma, Squamous Cell - surgery Dental Implantation - statistics & numerical data Dental Restoration Failure Female Humans Kaplan-Meier Estimate Male Mandible - radiation effects Mandible - surgery Middle Aged Mouth Neoplasms - radiotherapy Mouth Neoplasms - rehabilitation Mouth Neoplasms - surgery Original Paper Retrospective Studies Transplantation, Autologous |
| title | Functional Rehabilitation of Mandibular Continuity Defects Using Autologous Bone and Dental Implants – Prognostic Value of Bone Origin, Radiation Therapy and Implant Dimensions |
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