Oral rehabilitation with osseointegrated implants in oncologic patients

International Journal of Oral and Maxillofac Surgery 67: 2485-2496, 2009

OBJECTIVES

The esthetic and functional rehabilitation of oncologic patients subjected to major resection surgery constitutes one of the greatest challenges for the head and neck surgeon. Immediate bone reconstruction with microsurgical free tissue transfer and dental implants has constituted a genuine revolution in the management of such patients.

MATERIALS Y METHODS

We present a series of 111 oncologic patients, involving a total of 706 implants, who underwent reconstruction with pedicled or free microsurgical flaps.

RESULTS

The osseointegration success rate was 92.9%, with a global failure rate (malpositioning or fai- led osseointegration or loading) of 15%. Failure particularly affected the group of irradiated patients and those subjected to lateral osseomyocutaneous trapezial pedicled flap reconstruction. Excellent results were obtained with the fibular and iliac crest free flaps and osseoin- tegrated dental implants.

CONCLUSION

The difficulties of prosthetic rehabilitation are discussed, along with the individualized solutions applied, the repercussions on the temporomandibular joint, and the management pro- tocol adopted by our service.

The authors claim that the Mozo-Grau product were used the clinical stage of this article. 

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