Influence of implant-specific radiation doses on peri-implant hard and soft tissue: An observational pilot study.
CT Imaging
clinical assessment
clinical research
clinical trials
diagnosis
imaging
patient-centered outcomes
radiology
soft tissue-implant interactions
Journal
Clinical oral implants research
ISSN: 1600-0501
Titre abrégé: Clin Oral Implants Res
Pays: Denmark
ID NLM: 9105713
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
30
05
2020
revised:
24
11
2020
accepted:
25
11
2020
pubmed:
6
12
2020
medline:
10
2
2021
entrez:
5
12
2020
Statut:
ppublish
Résumé
The aim of this study was to investigate the influence of real implant-bed-specific radiation doses on peri-implant tissue health in head and neck cancer (HNC) patients after radiotherapy. Specific radiation doses in the area of 81 implants, in 15 irradiated HNC patients, were analyzed by matching data from the radiotherapy planning system with those of three-dimensional follow-up scans after implantation. Peri-implant bone resorption was measured radiographically after 1 and 3 years, and peri-implant tissue health was evaluated clinically. Individual parameters, such as age, gender, and localization, regarding the implant-specific radiation dose distribution were analyzed statistically. The mean implant-bed-specific radiation dose was high, with 45.95 Gy to the mandible and 29.02 Gy to the maxilla, but significantly lower than the mean total dose to the tumor bed. Peri-implant bone resorption correlated with local inflammation and plaque. After 1 year, women temporarily showed significantly more bone loss than men and implant-specific radiation dose had a significant impact on peri-implant bone loss after 3 years. The presented method is a feasible option to define precise implant-bed-specific radiation doses for research or treatment planning purposes. Implant-based dental restoration after radiotherapy is a relatively safe procedure, but a negative radiation dose-dependent long-term effect on peri-implant bone resorption calls for interdisciplinary cooperation between surgeons and radio-oncologists to define high-risk areas.
Substances chimiques
Dental Implants
0
Types de publication
Journal Article
Observational Study
Langues
eng
Pagination
249-261Informations de copyright
© 2020 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.
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