Faculty of Dental Medicine, Department of Oral and Maxillofacial Surgery, Hebrew University of Jerusalem, PO Box 12272, Jerusalem 9112102, Israel; Department of Oral and Maxillofacial Surgery, Hadassah Medical Center, Jerusalem, Israel.
Faculty of Dental Medicine, Department of Oral and Maxillofacial Surgery, Hebrew University of Jerusalem, PO Box 12272, Jerusalem 9112102, Israel; Department of Oral and Maxillofacial Surgery, Hadassah Medical Center, Jerusalem, Israel.
Oral Maxillofac Surg Clin North Am. 2025 Feb;37(1):121-131. doi: 10.1016/j.coms.2024.08.001. Epub 2024 Sep 11.
The surgical ablation of head and neck cancer followed by radiotherapy often leads to unfavorable functional and aesthetic outcomes. Studies have demonstrated that these outcomes can significantly impact quality of life. Dental implants play a crucial role in rehabilitation by facilitating the use of suprastructures and obturators. However, the long-term survival of dental implants in patients who have undergone radiotherapy remains uncertain, raising several questions. These include determining the optimal timing for dental implantation (before or after radiotherapy), identifying the radiotherapy threshold for implant loss, and considering the role of hyperbaric oxygen therapy. These and other related concerns will be addressed in the following article.
头颈部癌症的手术消融联合放疗后，往往会导致不理想的功能和美学效果。研究表明，这些结果会显著影响生活质量。牙种植体通过辅助使用上部结构和闭塞器在康复中发挥关键作用。然而，放疗后患者的牙种植体长期存活率仍不确定，这引发了一些问题。这些问题包括确定牙种植的最佳时机（放疗前还是放疗后）、确定种植体丢失的放疗阈值，以及考虑高压氧治疗的作用。以下文章将讨论这些问题和其他相关问题。
