During prosthetic rehabilitation after tumor therapy in the head and neck region, the
dentist must assess whether the prognosis of the remaining teeth is sufficiently good or whether
implants should be used to anchor dentures. Thus, the aim of the present study was to compare the
survival rate of teeth and implants after and to evaluate factors potentially influencing implant
survival. One hundred fifteen patients (male: 70.3%; mean age: 63.2 12.4 years) having received
dental treatment before and after at the Martin Luther University Halle-Wittenberg were enrolled
in the study. Clinical examination including assessment of dental status and stimulated salivary flow
rate was performed. Information about disease progression and therapy was retrieved from medical
records. After from a total of 1262 teeth, 27.2% had to be extracted. Of 308 implants inserted
after 7.0% were lost. Teeth exhibited lower 5-year survival probability (76.8%) than implants
(89.9%; p = 0.001). The risk of loss (RL) of implants increased with age, nicotine use, intraoral defects,
and RCT. Radiotherapy did not independently increase the RL. Thus, implants seem to be a reliable
treatment option in case of progressive tooth decay after, particularly after RT.
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:92137 |
| Date | 19 June 2024 |
| Creators | Schweyen, Ramona, Reich, Waldemar, Jevnikar, Peter, Kuhnt, Thomas, Wienke, Andreas, Hey, Jeremias |
| Publisher | MDPI |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | English |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 2077-0383, 10.3390/jcm11216319 |
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