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Interventions for replacing missing teeth: hyperbaric oxygen therapy for irradiated patients who require dental
P Coulthard1, M Esposito, H V Worthington
1Oral and Maxillofacial Surgery, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester, UK, M15 6FH. paul.coulthard@man.ac.uk
The Cochrane Database of Systematic Reviews
|July 26, 2002
Summary
Hyperbaric oxygen therapy (HBO) for dental implants in irradiated patients lacks evidence. More high-quality randomized controlled trials are needed to determine its effectiveness and guide clinical practice for cancer survivors.
Area of Science:
- Oral surgery and rehabilitation
- Radiotherapy and oncology
- Biomaterials and implantology
Background:
- Dental implants are crucial for replacing missing teeth and tissues, especially for cancer patients undergoing radiotherapy.
- Hyperbaric oxygen therapy (HBO) is controversially suggested to enhance dental implant success in irradiated patients.
Purpose of the Study:
- To compare the success rates, morbidity, patient satisfaction, and cost-effectiveness of dental implants with and without HBO in irradiated patients.
Main Methods:
- A comprehensive literature search was conducted across major databases (Cochrane, MEDLINE, EMBASE) and through expert consultation.
- Searched for randomized controlled trials (RCTs) specifically evaluating HBO therapy for irradiated patients receiving dental implants.
Main Results:
- No randomized controlled trials were identified during the review process.
- Consequently, no data were available to analyze the effectiveness of HBO in this patient population.
Conclusions:
- Clinicians must inform patients about the absence of reliable evidence regarding HBO's effectiveness for dental implants in irradiated patients.
- There is a critical need for well-designed, multi-centered RCTs adhering to CONSORT guidelines to establish the efficacy of HBO.