PRACA ORYGINALNA
Dental implants in patients with oro-facial cancers
following irradiation treatment
– a review of the literature
Więcej
Ukryj
1
Department of removable prosthodontics, faculty of dental medicine, university of Monastir, Tunisia, Tunisia
Data nadesłania: 17-07-2025
Data ostatniej rewizji: 13-10-2025
Data akceptacji: 02-12-2025
Data publikacji: 10-12-2025
Autor do korespondencji
Ines Saadellaoui
Department of removable prosthodontics, faculty of dental medicine, university of Monastir, Tunisia, Tunisia
Prosthodontics 2025;75(4):349-357
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
Prosthetic rehabilitation of patients treated for
head and neck cancers using dental implants is a
challenging task.
To explore the literature concerning the
effectiveness and success of implant rehabilitation
in irradiated patients.
Research was conducted on MEDLINE
via PubMed. The MeSH keywords used were
«Radiotherapy»[MeSH], »Dental Implants»
[MeSH], «Treatment Outcome»[MeSH], and
«Osseointegration»[MeSH]. A combination
of these words gave three Boolean equations:
(«Radiotherapy» [MeSH]) AND «Dental
Implants» [MeSH]), («Radiotherapy» [MeSH])
AND «Dental Implants» [MeSH] AND «Treatment
Outcome» [MeSH]), («Osseointegration»
[MeSH]) AND «Dental Implants» [MeSH]) AND
«Radiotherapy» [MeSH]).
The search on Pub Med combined with a manual
search gave 361 articles. After the application of
the inclusion and exclusion criteria, 54 articles
were retained and analysed. The selected
articles presented different types of studies. The
total number of patients in the selected articles was 16994. All these patients were treated with
radiotherapy and variable doses ranging from 50
to 65 Gy. The implant rehabilitation is practised
either at the time of the ablative surgery of the
tumour, before the radiotherapy, or after the
radiotherapy, with a respected time limit between
the irradiation procedure and implant surgery.
Hyperbaric oxygen therapy was used in most
of the retained articles. The success of implant
therapy reached 100% in the majority of cases.
Radiotherapy is no longer concerned as a
contraindication to implant therapy. It is practised
more and more often these days but it is necessary
to ensure good follow-up of patients to avoid any
risk of osteoradionecrosis, which leads to the loss
of implants.