无辅助高压氧治疗的放疗患者的口腔种植修复

Oral implant rehabilitation in irradiated patients without adjunctive hyperbaric oxygen.

作者信息

Andersson G, Andreasson L, Bjelkengren G

机构信息

Department of Oral and Maxillofacial Surgery, University Hospital MAS, Malmö, Sweden.

出版信息

Int J Oral Maxillofac Implants. 1998 Sep-Oct;13(5):647-54.

PMID:9796148

Abstract

In 15 patients treated for malignant tumors in the maxillofacial region, 90 Brånemark implants have been placed in irradiated alveolar bone without adjunctive hyperbaric oxygen therapy. Seventy-eight implants were placed in the mandible and 12 in the maxilla. After a follow-up period of 1 to 8 years, 88 implants are still stable, 27 after 6 to 8 years, 44 after 3 to 4 years, and 17 after 1 to 2 years. Two patients lost 1 implant each, both at an early stage. The success rate is 97.8% according to remaining implants, and prosthesis stability is 100%. Implant treatment for oral rehabilitation can be carried out as a safe and successful procedure in the irradiated patient without adjunctive hyperbaric oxygen therapy.

摘要

在15例接受颌面部恶性肿瘤治疗的患者中，未经辅助高压氧治疗，已在照射后的牙槽骨中植入90枚布兰emark种植体。78枚种植体植入下颌骨，12枚植入上颌骨。经过1至8年的随访期，88枚种植体仍保持稳定，其中27枚随访6至8年，44枚随访3至4年，17枚随访1至2年。两名患者各有1枚种植体在早期丢失。根据剩余种植体计算，成功率为97.8%，义齿稳定性为100%。在未经辅助高压氧治疗的照射患者中，口腔修复的种植治疗可作为一种安全且成功的手术进行。