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Immediate Dental Implant Placement in the Oncologic Setting: A Conceptual Framework
Rachel A Anolik1, Jonas A Nelson1, Evan B Rosen2
1Division of Plastic and Reconstructive Surgery, Department of General Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.
Plastic and Reconstructive Surgery. Global Open
|September 22, 2021
Summary
Immediate dental implants are now safe for cancer patients undergoing reconstruction. This new protocol improves implant survival and avoids delaying cancer treatment.
Area of Science:
- Oncology
- Oral and Maxillofacial Surgery
- Biomedical Engineering
Background:
- Immediate dental implants were previously limited to benign conditions due to concerns in oncologic settings.
- Challenges included implant survival, flap compromise, and delaying adjuvant therapy.
Purpose of the Study:
- To describe a novel workflow for immediate dental implant placement in oncologic patients.
- To evaluate the safety and efficacy of this approach in maxillary and mandibular reconstruction.
Main Methods:
- Utilized virtual surgical planning and custom guides for intraoperative implant placement during tumor resection and fibula flap reconstruction.
- Incorporated a phased prosthetic rehabilitation including a temporary prosthesis for radiation therapy and a permanent prosthesis post-treatment.
Main Results:
- Immediate dental implant placement in oncologic patients demonstrated high implant survival rates.
- The protocol ensured no delay in the initiation of adjuvant therapy.
Conclusions:
- This multidisciplinary workflow successfully expands indications for immediate dental rehabilitation in oncologic patients.
- The described protocol is safe, reliable, and enhances patient outcomes in complex head and neck reconstructions.
