The authors deny any conflicts of interest.
Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients
Article first published online: 6 FEB 2013
© 2013 by the American College of Prosthodontists
Journal of Prosthodontics
Volume 22, Issue 6, pages 432–438, August 2013
How to Cite
Tanaka, T. I., Chan, H.-L., Tindle, D. I., MacEachern, M. and Oh, T.-J. (2013), Updated Clinical Considerations for Dental Implant Therapy in Irradiated Head and Neck Cancer Patients. Journal of Prosthodontics, 22: 432–438. doi: 10.1111/jopr.12028
The article is associated with the American College of Prosthodontists' journal-based continuing education program. It is accompanied by an online continuing education activity worth 1 credit. Please visit www.wileyhealthlearning.com/jopr to complete the activity and earn credit.
- Issue published online: 15 AUG 2013
- Article first published online: 6 FEB 2013
- Manuscript Accepted: 11 NOV 2012
- Dental implant;
- head and neck cancer;
- survival rate;
- oral rehabilitation
An increasing number of reports indicate successful use of dental implants (DI) during oral rehabilitation for head and neck cancer patients undergoing tumor surgery and radiation therapy. Implant-supported dentures are a viable option when patients cannot use conventional dentures due to adverse effects of radiation therapy, including oral dryness or fragile mucosa, in addition to compromised anatomy; however, negative effects of radiation, including osteoradionecrosis, are well documented in the literature, and early loss of implants in irradiated bone has been reported. There is currently no consensus concerning DI safety or clinical guidelines for their use in irradiated head and neck cancer patients. It is important for health care professionals to be aware of the multidimensional risk factors for these patients when planning oral rehabilitation with DIs, and to provide optimal treatment options and maximize the overall treatment outcome. This paper reviews and updates the impact of radiotherapy on DI survival and discusses clinical considerations for DI therapy in irradiated head and neck cancer patients.