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Evaluation of Quality of Life After Mandibular Reconstruction Using a Novel Fixed Implant-Supported Dental Prosthesis Concept: A Pilot Study
- Source :
- The International Journal of Prosthodontics. 32:162-173
- Publication Year :
- 2019
- Publisher :
- Quintessence Publishing, 2019.
-
Abstract
- PURPOSE: To evaluate the feasibility and efficacy of a novel concept of early loaded (ie, within 2 weeks) implant-supported fixed dental prostheses (ISFDP) for patients who underwent mandibular reconstruction. MATERIALS AND METHODS: All patients requiring mandibular reconstruction between July 2013 and March 2016 at AZ Sint-Jan Brugge-Oostende AV were screened for dental rehabilitation according to the proposed concept. Of 17 patients, 10 were eligible for inclusion. Clinical and radiologic assessments of implant integration and prosthetic survival were performed at 6, 12, 24, and 36 months. Patient satisfaction was assessed prior to and after prosthetic rehabilitation using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaires Core 30 and Head & Neck 35, as well as a visual analog scale. RESULTS: Ten patients received mandibular reconstructive surgery for an oral cavity tumor (n = 6), osteoradionecrosis (n = 3), or medication-related osteonecrosis of the jaw (n = 1). Implants were placed within an average of 6 (2 to 21) months postsurgery in a one-stage procedure. Prosthetic rehabilitation was achieved within 2 weeks in 8 of the 10 patients. Two patients received their ISFDP delayed due to postoperative complications. Implant integration and prosthetic outcome at a maximum of 36 months of follow-up were successful in 7 of the 10 patients. At that time, two patients had passed away, while one patient had the ISFPD removed because of graft necrosis after radiotherapy. Patient satisfaction was high, with significant improvement after dental rehabilitation in comparison to mandibular reconstruction alone. CONCLUSION: The present concept offers a feasible and fast prosthetic rehabilitation that improves patient quality of life. ispartof: INTERNATIONAL JOURNAL OF PROSTHODONTICS vol:32 issue:2 pages:162-173 ispartof: location:United States status: published
- Subjects :
- NECK-CANCER-PATIENTS
SEGMENTAL RESECTION
Visual analogue scale
Osteoradionecrosis
medicine.medical_treatment
Dentistry
Pilot Projects
IRRADIATED PATIENTS
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Quality of life
Dentistry, Oral Surgery & Medicine
Humans
Medicine
HEAD
Dental Implants
OUTCOMES
Science & Technology
Rehabilitation
business.industry
Dental Implantation, Endosseous
Dental prosthesis
FREE FIBULA FLAP
CURRENT KNOWLEDGE
ORAL REHABILITATION
030206 dentistry
General Medicine
medicine.disease
Treatment Outcome
OSTEORADIONECROSIS
Quality of Life
Dental Prosthesis, Implant-Supported
Implant
Mandibular Reconstruction
Oral Surgery
POSTOPERATIVE MANAGEMENT
business
Osteonecrosis of the jaw
Life Sciences & Biomedicine
Follow-Up Studies
Subjects
Details
- ISSN :
- 08932174
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- The International Journal of Prosthodontics
- Accession number :
- edsair.doi.dedup.....763a551e0083ffbdc9257d18bc0c9001
- Full Text :
- https://doi.org/10.11607/ijp.6001