Barber A J, Butterworth C J, Rogers S N
Department of Restorative Dentistry, University of Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK.
Br J Oral Maxillofac Surg. 2011 Jan;49(1):29-36. doi: 10.1016/j.bjoms.2009.12.007. Epub 2010 Jan 15.
The aim of this paper is to provide a systematic review of articles concerning primary osseointegrated dental implants in the head and neck oncology setting. We searched MEDLINE (1950 to March 2009) and Embase (1980 to March 2009) using the terms head and neck, oral, maxillofacial, craniofacial, jaws, mandible, maxilla, zygoma, dental implants, osseointegrated implants, implants, tumour, cancer, oncology, immediate, simultaneous, and primary. Two authors independently reviewed the abstracts, and all those written in the English language that referred to the placement of primary dental implants in patients with cancer of the head neck were included. Articles that referred to craniofacial or extraoral implants were excluded. Of 892 abstracts 83 were eligible for further consideration; the full articles were evaluated, and 41 that complied fully with the inclusion criteria are presented as a tabulated summary. There are three case reports, 13 reviews, and 25 clinical studies. Eight of the clinical studies refer solely to the insertion of dental implants at the time of primary oncological resection, and only two were of a prospective design. We have concisely summarised publications concerning primary dental implants, and our findings will help to inform head and neck cancer teams, particularly oncological surgeons, restorative dentists, and maxillofacial prosthodontists of the evidence base surrounding this approach to oral rehabilitation.
本文旨在对有关头颈部肿瘤患者使用一次骨结合牙种植体的文章进行系统综述。我们使用“头颈部”“口腔”“颌面”“颅面”“颌骨”“下颌骨”“上颌骨”“颧骨”“牙种植体”“骨结合种植体”“种植体”“肿瘤”“癌症”“肿瘤学”“即刻”“同期”和“一次”等检索词，检索了MEDLINE（1950年至2009年3月）和Embase（1980年至2009年3月）。两位作者独立审阅摘要，纳入所有英文撰写的、提及对头颈部癌症患者植入一次牙种植体的文章。提及颅面或口外种植体的文章被排除。892篇摘要中，83篇符合进一步考量的条件；对全文进行评估后，41篇完全符合纳入标准的文章以表格形式汇总呈现。其中有3篇病例报告、13篇综述和25项临床研究。8项临床研究仅涉及在肿瘤初次切除时植入牙种植体，且只有2项为前瞻性设计。我们简要总结了有关一次牙种植体的出版物，我们的研究结果将有助于让头颈癌治疗团队，特别是肿瘤外科医生、修复牙医和颌面修复医师了解围绕这种口腔修复方法的证据基础。
