Dental Implant Treatment In Patients With Oral Cancer: Literature Review

Öz

The aim of this review is to evaluate the timing of dental implants placement and long-term survival rates in patients who have had prosthetic rehabilitation with dental implants after ablative surgery and radiotherapy (RT), and have had head and neck cancer (HNC). For this purpose; implant survival (IS) rates placed as primary/secondary or placed in bones with/without RT were evaluated. The literature published between 2000 - 2020 has been reviewed for the evaluation of dental implant treatment in patients with HNC. The search terms used in PubMed scans were "head and neck cancer", "oral cancer", "dental implant" and "radiotherapy". 134 related articles have been defined in PubMed database searches and 16 were included in the final analysis. Dental implant applications have gained importance in the prosthetic treatment of patients with oral cancer. In cases where conventional prosthetic treatments are insufficient, dental implants provide retention and stability to dentures. However, before starting treatment, whether the patient is receiving chemotherapy, RT and the use of bisphosphonate should be taken into consideration and the timing of the surgical procedures should be adjusted correctly. In addition, these patients should be followed up regularly for a long time.

Anahtar Kelimeler

• Dental implants
• Head and neck cancer
• Oral cancer
• Radiotherapy

Dental Implant Treatment In Patients With Oral Cancer: Literature Review

Öz

Bu derlemenin amacı, ablatif cerrahi ve radyoterapi sonrasında dental implantlar ile protetik rehabilitasyonu yapılan, baş-boyun kanseri geçiren hastalarda dental implantların yerleştirilme zamanlaması ve uzun süreli sağ kalım oranlarını değerlendirmektir. Bu amaçla; implantların primer/sekonder yerleştirilmesi, radyoterapi almış/almamış çene kemiklerinde implant sağ kalım oranları değerlendirilmiştir. 2000 - 2020 yılları arasında yayınlanan literatürler, baş-boyun kanseri geçirmiş hastalarda dental implant tedavisinin değerlendirilmesi amacıyla gözden geçirilmiştir. PubMed taramalarında kullanılan arama terimleri ‟baş boyun kanseri”, ‟oral kanser”, ‟dental implant”, ‟radyoterapi” idi. Yapılan PubMed taramasında 134 ilgili makale bulunmuş ve 16 makale derlemeye dahil edilmiştir. Ağız kanseri hastalarının tedavisinde protetik tedavi amaçlı dental implant uygulamaları günümüzde önem kazanmıştır. Konvansiyonel protetik tedavilerin yetersiz kaldığı durumlarda, dental implantlar protezlere retansiyon ve stabilite sağlamaktalardır. Ancak uygulamadan önce hastanın kemoterapi, radyoterapi alıp almadığı ve bifosfanat kullanım durumu dikkate alınmalı, yapılacak cerrahi işlemlerin zamanlaması doğru ayarlanmalıdır. Ayrıca bu hastalar düzenli olarak uzun süre takip edilmelidir.

Anahtar Kelimeler

• Dental implants
• Head and neck cancer
• Oral cancer
• Radiotherapy

Kaynakça

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