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Endosseous implants in an irradiated tissue bed

S E Eckert1, R P Desjardins, E E Keller

  • 1Department of Dental Sciences, Mayo Clinic, Rochester, Minn., USA.

The Journal of Prosthetic Dentistry
|July 1, 1996
PubMed
Summary

Dental implants show promising survival rates even in patients who received therapeutic radiation. Further multi-institutional studies are recommended to build a robust dataset for endosseous implants in radiated sites.

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Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Radiation Oncology

Background:

  • Endosseous implants have a successful history at Mayo Clinic.
  • Osseointegration principles support implant success.
  • Expansion to radiated tissue beds is a novel application.

Purpose of the Study:

  • To evaluate preliminary survival data of endosseous implants in radiated tissue beds.
  • To describe presurgical evaluation and surgical techniques for these cases.
  • To report complications following prosthetic reconstruction.

Main Methods:

  • Review of clinical data for endosseous implants placed in previously radiated sites.
  • Detailed description of presurgical assessment protocols.
  • Surgical technique and postprosthetic complication analysis.

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Main Results:

  • Preliminary data indicates acceptable implant survival in radiated tissue beds.
  • Complications related to postprosthetic reconstruction were documented.
  • The study cohort was relatively small, necessitating further investigation.

Conclusions:

  • Endosseous implants can be successfully placed in radiated tissue beds.
  • Careful presurgical evaluation and surgical technique are crucial.
  • Collaborative multi-institutional data collection is advised to establish a comprehensive database.