A Review of the Success Rate of Dental Implants in Patients Undergoing Radiotherapy and Chemotherapy
Farnoosh Razmara1,2, Maryam Sohrabi1-3 and Saba Mohammadi4*
1Craniomaxillofcial Research Center, Tehran University of Medical Sciences, Tehran, Iran
2Assistant Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
2Fellowship of Maxillofacial Surgical Oncology, Tehran University of Medical Sciences, Tehran, Iran
3Dental Student, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Author: Saba Mohammadi, Dental Student, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Received:
February 20, 2022; Published: March 24, 2022
Abstract
Introduction: According to the World Health Organization, the incidence of head and neck cancers, both primary and secondary (metastatic), is increasing. Currently, the main treatments for this complication are radiotherapy and chemotherapy. On the other hand, the success of implant treatment in these patients due to the cellular changes is a very significant point that should be considered.
Objective: The aim of this study was to review the success rate of dental implants in patients undergoing radiotherapy and chemotherapy.
Materials and Methods: This study was a narrative review. In this study, research published in PubMed, Google Scholar, and Scapus databases has been reviewed by a review method and with a keyword search strategy.
Results: 4320 articles were found from the mentioned databases that after deleting unrelated research (3101 cases) and duplicate research (1050 cases), 105 articles remained for final review. Then, those that were presented in the scientific conference and were in the form of abstracts or did not have a correct statistical population were excluded from the study (90 cases). Finally, 15 articles in this study were reviewed.
Conclusion: The survival rate of dental implants may be negatively affected by radiotherapy; however, implants can remain osteointegrated and remain functionally stable and, therefore, can be a good treatment option for rehabilitation and improving the quality of life of cancer patients. The use of bone grafts and higher doses of radiation in the jaw area can be negative prognostic factors.
Keywords: Dental Implants; Radiotherapy; Drug Therapy; Head and Neck Neoplasms; Mouth Neoplasms
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