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放疗后重建下颌骨骨结合的组织学证据:一例报告

Histologic evidence of osseointegration in the irradiated and reconstructed mandible: a case report.

作者信息

Oechslin C K, Zimmermann A P, Grätz K W, Sailer H F

机构信息

Department of Maxillofacial Surgery, University Hospital Zurich, Switzerland.

出版信息

Int J Oral Maxillofac Implants. 1999 Jan-Feb;14(1):113-7.

Abstract

Osseointegrated implants are widely used in dental rehabilitation. They are particularly valuable if the structures supporting a denture had to be removed because of oral cancer. Additionally, many of these patients undergo radiotherapy, but cancer and radiotherapy are seen as relative contraindications for implant therapy. In the literature, there are few clinical studies documenting successful oral rehabilitation using implants in such patients. The authors report a clinical case in which histologic evidence of osseointegration can be demonstrated in an irradiated and reconstructed mandible. This observation should encourage the extended application of implants in rehabilitation following oral cancer surgery.

摘要

骨结合种植体在牙列修复中广泛应用。如果由于口腔癌而不得不去除支持义齿的结构,那么骨结合种植体就显得尤为珍贵。此外,这些患者中有许多人接受了放射治疗,但癌症和放射治疗被视为种植治疗的相对禁忌证。在文献中,很少有临床研究记录在这类患者中使用种植体成功进行口腔修复的情况。作者报告了一例临床病例,在该病例中,可在接受过放射治疗且经重建的下颌骨中证明骨结合的组织学证据。这一观察结果应会促使在口腔癌手术后的修复中更广泛地应用种植体。

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