RT Journal Article
T1 Oral Rehabilitation With Osseointegrated Implants in Oncologic Patients
A1 Cuesta Gil, Matías
A1 Ochandiano Caicoya, Santiago
A1 Riba García, Francisco
A1 Duarte Ruiz, Blanca
A1 Navarro Cuéllar, Carlos
A1 Navarro Vila, Carlos León Martín Pascual
AB Purpose: 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 and 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 failed 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 osseointegrated dental implants.Conclusions: The difficulties of prosthetic rehabilitation are discussed, along with the individualized solutions applied, the repercussions on the temporomandibular joint, and the management protocol adopted by our service.
PB Elsevier
SN 0278-2391
YR 2009
FD 2009-11-10
LK https://hdl.handle.net/20.500.14352/108700
UL https://hdl.handle.net/20.500.14352/108700
LA eng
NO Cuesta-Gil M, Ochandiano Caicoya S, Riba-García F, Duarte Ruiz B, Navarro Cuéllar C, Navarro Vila C. Oral rehabilitation with osseointegrated implants in oncologic patients. J Oral Maxillofac Surg. 2009 Nov;67(11):2485-96. doi: 10.1016/j.joms.2008.03.001
DS Docta Complutense
RD 11 abr 2025