Periimplant changes in different transplanted soft tissues around loaded endosseous implants in patients after oral tumor surgery.

Abstract:

PURPOSE:To examine periimplant reaction of transplanted soft tissues foreign to oral cavity when compared with local gingiva. METHODS:In 58 oral cancer patients, 210 dental implants were inserted mainly in the mandible after radical surgery and reconstruction. Ninety-six implants penetrated transplants (split skin, mucosal, platysma, pectoralis major, and intestinal) and were compared with 114 implants penetrating local gingiva. Prosthetic treatment consisted of telescopic or bar-retained overdentures or (in case of intestinal grafts) implant-supported fixed prostheses. Follow-up lasted between 30 and 60 months. Plaque index, sulcus bleeding index, pocket probing depth, and width of vestibular-/oral attached mucosa were measured. RESULTS:Plaque index (before second year; P < 0.01) and pocket probing depth (after first year; P < 0.02-0.04) displayed significant differences with disadvantage for split skin grafts. Sulcus bleeding did not exceed index 1. Attached mucosa had no significant effect on periimplant health. CONCLUSION:Transplanted extraoral tissues behaved similarly when compared with local gingiva, showing no detrimental effect on periimplant health in oral cancer patients. Split skin and mucosal grafts had worst performance.

journal_name

Implant Dent

journal_title

Implant dentistry

authors

Kovács AF,Wallowy P,Stefenelli U,Landau S

doi

10.1097/01.id.0000433935.76603.0a

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

650-5

issue

6

eissn

1056-6163

issn

1538-2982

journal_volume

22

pub_type

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