The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Soft tissue consideration in oral rehabilitation using implant in a patient after oral tumor resection

구강종양 골절제 환자의 임플란트 수복 시 연조직에 대한 고려사항

  • Lee, Young-Hoon (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Ko, Kyung-Ho (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Huh, Yoon-Hyuk (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Chan-Jin (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
  • 이영훈 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 고경호 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 허윤혁 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소)
  • Received : 2017.06.26
  • Accepted : 2017.08.17
  • Published : 2017.10.31
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Abstract

After the resection of oral tumor, defected maxillofacial structure caused functional difficulties including phonetics, mastication and esthetic aspects. In this cases, implant retained prosthesis can contribute to the functional enhancement. Regardless of the success rate in grafted bone, however, the soft tissue usually had a shape which was susceptible to inflammation. Moreover, infected graft bone presented rapid destruction. For success of the prosthetic treatment, adequate soft tissue treatment and frequent recall check are the essential factors to the successful implant prognosis.

구강종양을 절제한 경우 악안면 구조의 상실로 인해 발음, 저작, 심미 등 기능장애를 유발하게 되므로 기능회복을 위해 보철 수복이 필요하다. 이때 임플란트를 이용하면 보철물의 효과적인 기능 향상을 기대할 수 있다. 하지만 골절제술을 시행한 후, 이식골의 성공률과는 별개로 연조직이 감염에 취약한 형태를 갖기 쉬우며 이식골은 염증에 이환된 경우 빠른 속도로 파괴가 발생할 수 있다. 성공적인 보철치료를 위해서는 보철치료에 앞서 적절한 연조직 처치와 보철수복 후 잦은 정기검진을 통해 임플란트의 예후와 연관된 각별한 주의가 필요하다.

Keywords

References

  1. Beumer J. Maxillofacial rehabilitation: prosthodontic and surgical considerations. St. Louis : Ishiyaku EuroAmerica, Co. 1996.
  2. Garrett N, Roumanas ED, Blackwell KE, Freymiller E, Abemayor E, Wong WK, Gerratt B, Berke G, Beumer J 3rd, Kapur KK. Efficacy of conventional and implant-supported mandibular resection prostheses: study overview and treatment outcomes. J Prosthet Dent 2006;96:13-24. https://doi.org/10.1016/j.prosdent.2006.05.010
  3. Tang JA, Rieger JM, Wolfaardt JF. A review of functional outcomes related to prosthetic treatment after maxillary and mandibular reconstruction in patients with head and neck cancer. Int J Prosthodont 2008;21:337-54.
  4. Bodard AG, Bemer J, Gourmet R, Lucas R, Coroller J, Salino S, Breton P. Dental implants and free fibula flap: 23 patients. Rev Stomatol Chir Maxillofac 2011;112:e1-4. https://doi.org/10.1016/j.stomax.2011.01.008
  5. Bodard AG, Salino S, Desoutter A, Deneuve S. Assessment of functional improvement with implant-supported prosthetic rehabilitation after mandibular reconstruction with a microvascular free fibula flap: A study of 25 patients. J Prosthet Dent 2015;113: 140-5. https://doi.org/10.1016/j.prosdent.2014.08.005
  6. Parbo N, Murra NT, Andersen K, Buhl J, Kiil B, Norholt SE. Outcome of partial mandibular reconstruction with fibula grafts and implant-supported prostheses. Int J Oral Maxillofac Surg 2013; 42:1403-8. https://doi.org/10.1016/j.ijom.2013.05.007
  7. Chiapasco M, Colletti G, Romeo E, Zaniboni M, Brusati R. Longterm results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection. Clin Oral Implants Res 2008;19:1074-80. https://doi.org/10.1111/j.1600-0501.2008.01542.x
  8. Zou D, Huang W, Wang F, Wang S, Zhang Z, Zhang C, Kaigler D, Wu Y. Autologous ilium grafts: Long-term results on immediate or staged functional rehabilitation of mandibular segmental defects using dental implants after tumor resection. Clin Implant Dent Relat Res 2015;17:779-89. https://doi.org/10.1111/cid.12169
  9. Raoul G, Ruhin B, Briki S, Lauwers L, Haurou Patou G, Capet JP, Maes JM, Ferri J. Microsurgical reconstruction of the jaw with fibular grafts and implants. J Craniofac Surg 2009;20:2105-17. https://doi.org/10.1097/SCS.0b013e3181bec611
  10. Smith GI, O'Brien CJ, Choy ET, Andruchow JL, Gao K. Clinical outcome and technical aspects of 263 radial forearm free flaps used in reconstruction of the oral cavity. Br J Oral Maxillofac Surg 2005;43:199-204. https://doi.org/10.1016/j.bjoms.2004.11.024
  11. Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods of obtaining required morphological data. J Prosthet Dent 2012;107:34-46. https://doi.org/10.1016/S0022-3913(12)60015-8
  12. Wolff J, Agata H, Sandor GK, Haimi S. Peri-implant tissue findings in bone grafted oral cancer patients compared to non bone grafted patients without oral cancer. J Oral Maxillofac Res 2012;2:e2.
  13. Kwon YD, Karbach J, Wagner W, Al-Nawas B. Peri-implant parameters in head and neck reconstruction: influence of extraoral skin or intraoral mucosa. Clin Oral Implants Res 2010;21:316-20. https://doi.org/10.1111/j.1600-0501.2009.01763.x