Granados Francisco, Santos-Ruiz Leonor, Contreras Marian, Mellado Jose, Martin Gregorio, Bermudo Lucas, Ruiz Francisco, Aguilar Yolanda, Yáñez Ignacio
University General Hospital of Málaga. Plaza de Hospital Civil, Málaga.
J Clin Exp Dent. 2020 Jan 1;12(1):e98-e102. doi: 10.4317/medoral.55964. eCollection 2020 Jan.
One third of all cases of head and neck carcinoma (CA) concern the oral mucosa. The use of dental implants (DI) for dental rehabilitation is widely extended. However, a few studies have reported some cases with neoplasic alterations, among the tissue surrounding implants. Our aim was to analyze possible alterations at the bone-implant interface in patients with oral squamous cell carcinoma (SCC), providing new evidence that could relate or discard a possible link between these factors. We used, for the first time, different techniques, including electron microscopy and histology, to analyze the implant ´s surface and the surrounding tissue from four clinical cases with neoplasic alterations surrounding DI. Histologically, ample inflammatory tissue was found in direct contact with the implant surface. Surface analysis of this tissue, revealed titanium percentages. According to our study, no oncological relation with deterioration of the implant surface was found, although DI were constantly related with peri-implantitis, a chronic trauma of the oral mucosa that could involve a neoplastic factor. Dental implants, carcinoma, peri-implantitis.
所有头颈癌(CA)病例中有三分之一与口腔黏膜有关。牙种植体(DI)在牙齿修复中的应用广泛。然而,一些研究报告了种植体周围组织中出现肿瘤性改变的病例。我们的目的是分析口腔鳞状细胞癌(SCC)患者骨-种植体界面的可能改变,提供新的证据以关联或排除这些因素之间的可能联系。我们首次使用了包括电子显微镜和组织学在内的不同技术,来分析来自4例种植体周围有肿瘤性改变的临床病例的种植体表面和周围组织。组织学上,发现大量炎性组织与种植体表面直接接触。对该组织的表面分析显示了钛的百分比。根据我们的研究,未发现与种植体表面恶化存在肿瘤学关联,尽管牙种植体常与种植体周围炎相关,种植体周围炎是口腔黏膜的一种慢性创伤,可能涉及肿瘤因素。牙种植体、癌、种植体周围炎。