Publication: Rehabilitación funcional con implantes en pacientes oncológicos
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2017-02-23
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Universidad Complutense de Madrid
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Abstract
Uno de los mayores retos a los que se enfrenta el cirujano de cabeza y cuello es la rehabilitación funcional de la cavidad oral tras la cirugía ablativa oncológica. La restauración de la unidad oseodentaria y de la oclusión son claves para proporcionar calidad de vida a los pacientes. La rehabilitación implantosoportada es la única válida para recuperar la función. Los implantes han supuesto una revolución en los pacientes oncológicos. Hipótesis: La rehabilitación funcional de pacientes oncológicos es posible mediante la colocación de prótesis implantosoportadas o implantoretenidas con tasas de éxito similares a la población no oncológica. Objetivos: Conocer porcentajes de éxito de osteointegración de implantes a lo largo del tiempo. Saber si es mejor la colocación primaria o secundaria, averiguar si existen zonas anatómicas más favorables para la osteointegración y si la radioterapia influye en el éxito. Analizar las rehabilitaciones protésicas realizadas en nuestros pacientes. Material y métodos: Presentamos un grupo de 122 pacientes intervenidos entre 2006 y 2015 por carcinomas epidermoides mayoritariamente varones, fumadores y tratados con 941 implantes. El 52% recibe radioterapia complementaria. De ellos 15 fallecen en el seguimiento sin llegar a rehabilitarse por lo que analizamos los 107 pacientes tratados con 845 implantes, que son portadores de una prótesis...
Functional restoration of the oral cavity after ablative surgery to treat cancer is one of the main challenges facing the head and neck surgeon. Reconstruction of teeth and bone and rehabilitation of occlusion play a key role in restoring quality of life. Osseointegrated implants have revolutionized reconstructive treatment in patients with cancer of the oral cavity, since they enable stabilization of dental prostheses. Hypothesis: Functional rehabilitation of cancer patients is possible by means of implant retained and supported prosthesis with rates similar to non‐cancer population success. Objectives: Find osseointegration success rates of implants over time . Knowing whether primary or secondary placement is preferable, find out if there are more favorable anatomical areas for osseointegration and if radiation influences success. Analyze the prosthetic restorations made in our patients. Material and methods: We present a group of 122 patients operated on between 2006 and 2015 due to squamous cell carcinomas mostly males, smokers and treated with 941 implants. 52% received adjuvant radiotherapy. 15 of them die in monitoring without being rehabilitated so we analyzed 107 patients with 845 implants, the ones who are carriers of a prosthesis...
Functional restoration of the oral cavity after ablative surgery to treat cancer is one of the main challenges facing the head and neck surgeon. Reconstruction of teeth and bone and rehabilitation of occlusion play a key role in restoring quality of life. Osseointegrated implants have revolutionized reconstructive treatment in patients with cancer of the oral cavity, since they enable stabilization of dental prostheses. Hypothesis: Functional rehabilitation of cancer patients is possible by means of implant retained and supported prosthesis with rates similar to non‐cancer population success. Objectives: Find osseointegration success rates of implants over time . Knowing whether primary or secondary placement is preferable, find out if there are more favorable anatomical areas for osseointegration and if radiation influences success. Analyze the prosthetic restorations made in our patients. Material and methods: We present a group of 122 patients operated on between 2006 and 2015 due to squamous cell carcinomas mostly males, smokers and treated with 941 implants. 52% received adjuvant radiotherapy. 15 of them die in monitoring without being rehabilitated so we analyzed 107 patients with 845 implants, the ones who are carriers of a prosthesis...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Cirugía, leída el 27/01/2016