A Retrospective Service- Evaluation of Implant Success, Survival, Periimplant Health and Prosthetic Complications in a Cohort of Head and Neck Cancer Patients.

IF 1.1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Journal of Prosthodontics and Restorative Dentistry Pub Date : 2023-05-31 DOI:10.1922/EJPRD_2441Pollard12

A J Pollard, S Garner, S Patel, M Jerreat

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引用次数: 0

Abstract

Objectives: To determine the success, survival, peri-implant health and prosthetic complications in head and neck cancer patients receiving oral rehabilitation utilising dental implants between 2008 and the present day.

Materials and methods: Service evaluation. Survival Group: Retrospective review of records to determine implant survival and prosthetic complications. Success Group: Examination to determine implant success and health.

Results: Survival Group: 260 implants in 81 individuals, median follow up 49.2 months. 89.3% implant survival at 96 months, no further failures up to 133 months. 40.9% individuals required repair or remake of prosthesis by 72 months - mostly denture re-lines. Success group: 164 implants in 48 individuals, median follow up 56 months. Peri-implant mucositis detected in 22% of fixtures (37.5% individuals); peri-implantitis in 12.8% (25% individuals); 33.3% fixtures exhibiting periimplantitis at 120 months. Previous smoking significantly associated with development of peri-implantitis (HR 2.372, p=0.032, 95CI:1.232, 93.317). Compromised survival (e.g. peri-implantitis), absolute (not in mouth) or clinical failure estimated to occur in 28.1% fixtures at 101 months, mostly due to peri-implantitis.

Conclusions: There is a large burden of ongoing care in this cohort, requiring interventions to improve peri-implant health and maintain complex prostheses. Oral rehabilitation and ongoing maintenance in this cohort is complex and multi-disciplinary.

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一项回顾性服务-评估头颈癌患者的种植体成功、生存、种植体周围健康和假体并发症。

目的:了解2008年至今头颈癌患者使用种植体进行口腔康复的成功率、生存率、种植体周围健康状况和假体并发症。材料与方法:服务评价。生存组:回顾性审查记录，以确定种植体存活和假体并发症。成功组:检查以确定种植成功和健康。结果:生存组:种植体260枚，81例，中位随访49.2个月。89.3%的植入物在96个月时存活，133个月无进一步失败。40.9%的患者在72个月后需要修复或重做义齿，主要是义齿重新安置。成功组:48例植入164颗，中位随访56个月。22%的固定物(37.5%)检测到种植体周围粘膜炎;种植体周围炎12.8% (25%);33.3%的固定物在120个月时表现为种植体周围炎。既往吸烟与种植体周围炎的发生显著相关(HR 2.372, p=0.032, 95CI:1.232, 93.317)。在101个月时，估计有28.1%的固定物出现生存期降低(如种植体周围炎)、绝对(不在口腔)或临床失败，主要是由于种植体周围炎。结论:在这一队列中有很大的持续护理负担，需要干预来改善种植体周围的健康和维持复杂的假体。口腔康复和持续维持在这个队列是复杂的和多学科的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Prosthodontics and Restorative Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： The European Journal of Prosthodontics and Restorative Dentistry is published quarterly and includes clinical and research articles in subjects such as prosthodontics, operative dentistry, implantology, endodontics, periodontics and dental materials.