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Comparison of maxillary implant-supported prosthesis in irradiated and non-irradiated patients

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Summary

In order to investigate the influence of radiation therapy after the treatment of maxillary implant-supported prostheses, 27 patients received a total of 131 implants in maxilla after oral cancer treatment and/or reconstructive surgery. Among them, 25 received maxillary implant-supported prostheses. The cumulative survival rates of implants and prostheses were evaluated by the productlimit-estimates method according to Kaplan-Meier. The cumulative survival rate of implants and prostheses in irradiated patients was compared with that in non-irradiated patients by statistical Logrank test. The results showed that 112 implants were observed after implant loading. The implants cumulative survival rate was approximately 65 % for overall patients. The cumulative prosthesis successful rate was approximately 88% for all 25 patients. Log-rank test analysis revealed that there was a significant difference in cumulative implants survival rates between non-irradiated and irradiated maxillary bone (P<0.01). It was concluded that the implants and prostheses in irradiated patients have significantly lower survival rates than in non-irradiated patients.

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References

  1. Jacobsson M G, Jonsson A K, Albrektsson Tet al. Short- and long-term effects of irradiation on bone regeneration. Plast Reconstr Surg, 1985, 76, 841

    Article  CAS  PubMed  Google Scholar 

  2. Hahn J. Clinical uses of osteotomes. J Oral Implantol, 1999, 25, 23

    Article  CAS  PubMed  Google Scholar 

  3. Watzinger F, Lukash J, Millesi Wet al. Guided bone regeneration with titanium membranes: a clinical study. Br J Oral Maxillofac Surg, 2000, 38, 312

    Article  CAS  PubMed  Google Scholar 

  4. Boyne P J. The history of maxillary sinus gratting. In: Jensen OT (ed). The Sinus Bone Graft. Chicago, Quintessence Publishing Co. Ltd. 1999. 1–6

    Google Scholar 

  5. Weischer T, Schettler D, Mohr C. Titanium implants in the zygoma as retaining elements after hemimaxillectomy. Int J Maxillofac Implants, 1997, 12:211

    CAS  Google Scholar 

  6. Buser D, Merickse-Stern R, Bernard J Pet al. Longterm evaluation of nonsubmerged ITI implants. Part 1: 8-year life table analysis of a prospective multicenter study with 2359 implants. Clin Oral Impl Res, 1997, 8: 161

    Article  CAS  Google Scholar 

  7. Kaplan E, Meier P. Nonparametric estimation from incomplete observations. J Am Stat Assoc, 1958,53:457

    Article  MathSciNet  Google Scholar 

  8. Jemt T, Chai J, Harnett Jet al. A 5-year prospective multicenter follow-up report on overdentures supported by osseointegrated implants. Int J Oral Maxillofac Implants, 1996, 3:291

    Google Scholar 

  9. Adell R, Lekholm U, Rockler Bet al. A fifteen-year study of osseointegrated implants in the treatment of edentulous jaws. Int J Oral Surg, 1981, 10:387

    Article  CAS  PubMed  Google Scholar 

  10. Branemark P I, Svensson B, van Steenberghe D Ten-year survival rates of fixed prostheses on four or six implants ad modum Branemark in full edentulism. Clin Oral Impl Res, 1995, 6:227

    Article  CAS  Google Scholar 

  11. Widmark G, Andersson B, Carlsson G E. Rehabilitation of patients with severely resorbed maxillae by means of implants with or without bone grafts. A 1-year follow-up study. Int J Oral Maxillofac Implants, 1998,13:474

    CAS  PubMed  Google Scholar 

  12. Ihara K, Goto M, Miyahara A,et al. Multicenter experience with maxillary prostheses supported by Branemark implants: A clinical report. Int J Oral Maxillofac Implants, 1998,13:531

    CAS  PubMed  Google Scholar 

  13. Chaytor D. Clinical criteria for implant success. Int J Prosthodont, 1993,6:145

    CAS  PubMed  Google Scholar 

  14. Esser E, Wagner W. Dental implants following radical oral cancer and adjuvant radiotherapy. Int J Oral Maxillofac Implants, 1997,12:552

    CAS  PubMed  Google Scholar 

  15. Watzinger F, Ewers R, Haenninger A. Endosteal implants in the irradiated lower jaw. J Cranio-Maxillofac Surg, 1996,24:237

    Article  CAS  Google Scholar 

  16. Franzen L, Rosenquist J B, Rosenquist K Iet al. Oral implant rehabilitation of patients with oral malignancies treated with radiotherapy and surgery without adjunctive hyperbaric oxygen. Int J Oral Maxillofac Implanta 1995,10:183

    CAS  Google Scholar 

  17. Taylor T, Worthington P. Osseointegrated implant rehabilitation of the previously irradiated mandible: Results of a limited trail at 3 to 7 years. J Prosthet Dent, 1993 69:60

    Article  CAS  PubMed  Google Scholar 

  18. Weischer T, Schettler D, Mohr C. Implant-supported telescopic restorations in maxillofacial prosthetics. Int J Prosthodont, 1997,10:287

    CAS  PubMed  Google Scholar 

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CAO Yingguang, male, born in 1962, Associate Professor

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Yingguang, C., Weischer, T. Comparison of maxillary implant-supported prosthesis in irradiated and non-irradiated patients. Current Medical Science 23, 209–212 (2003). https://doi.org/10.1007/BF02859961

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