Tratamiento con implantes dentales en pacientes irradiados por cáncer de cabeza y cuello. Parte 1
- López-Quiles Martínez, Juan
- López-Pintor Muñoz, Rosa Mª
- Arriba de la Fuente, Lorenzo
- Hernández Vallejo, Gonzalo
- Zarrías Caballero, Carmen
- García Gil, Ignacio
ISSN: 1697-6398, 1697-641X
Año de publicación: 2014
Volumen: 11
Número: 2
Páginas: 47-54
Tipo: Artículo
Otras publicaciones en: Científica dental: Revista científica de formación continuada
Resumen
Through this literature review is to assess whether radiation affects carrying out implant treatment and if so what are the parameters to be followed by every clinician to obtain a good rate of long term success are. To do this, a literature search was performed in recent years. It is considered that treatment with implants in radiated patients is not a contraindication, although the success rate will be somewhat lower than if the patient did not receive radiotherapy. Account shall be taken a number of parameters. One is if the implant is placed after the radiation therapy (radiotherapy post- protocol) or in the same surgical resection (pre - radiotherapy protocol), the latter offering excellent benefits but also some problems. Another issue is not solved the radiation dose limit to ensure the success of the implant. The waiting time from radiotherapy to implant placement is not clear and ranges from 6 to 24 months. What does seem clear is that the success rate of maxillary decline from the jaw, and so does the posterior from the previous. The kind of implant and prosthetic influence although it is unclear which should be used, and as to the charge time should be increased, but has not been established as. Should be carried out more studies to resolve all these issues not clarified.