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Orbit rehabilitation with extraoral implants: impact of radiotherapy
Reinaldo Guedes Junior1, Monica Marcelino Pires de Mello, Joaquim Augusto Piras de Oliveira
1post-graduation, Dental School, UNIP, São Paulo, Brazil.
Purpose:
The aim of the study was to compare the success rates of osseointegration among irradiated and nonirradiated cases submitted to implant placement for anchorage of orbit prostheses from 2003 to 2011.
Materials And Methods:
Charts of 45 consecutive patients were analyzed, 31 men and 14 women, and they were divided in two groups, considering previous irradiation therapy. Nonirradiated group had 33 patients, and irradiated group had 12 patients. In total, 138 implants were installed, 42 (30.4%) in previously irradiated bone.
Results:
The overall implant survival rate was 96.4% with a success rate of 99.0% among the nonirradiated patients and 90.5% among the irradiated patients (p = 0.03).
Conclusions:
Results showed that irradiated sites had a worse prognosis related to success of osseointegration, although the 90.5% survival rate in this group indicates that implant placement is a feasible alternative to anchor orbit prostheses considering the benefits that this technique offers to patients.
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