Skip to main content
SpringerLink
Log in

Rehabilitation of Oral Cancer Patients using Dental Implants and Maxillofacial Prosthetics

  • Chapter
  • First Online:
Early Detection and Treatment of Head & Neck Cancers

  • 333 Accesses

Abstract

Dental implants have become an integral part of orofacial rehabilitation. In addition to their use for tooth replacement, they have become important in maxillofacial prosthetic rehabilitation. Head and neck cancers often require ablative surgery that includes the maxilla and mandible. The use of dental implants to support prostheses replacing portions of the jaws and facial skeleton has given individuals with this disease functionality, aesthetics, and emotional support that have never before been possible. Digital technology has further provided opportunities in the planning and execution of maxillofacial rehabilitation using dental implants. This allows the use of advanced surgical and prosthetic techniques with an improved result for the patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. McKinney RV, Steflick DE, Koth DL, et al. The scientific basis for dental implant therapy. J Dent Educ. 1988;52:696–705.

    Article  Google Scholar 

  2. Branemark PI, Adell R, Breine U, et al. Intra-osseous anchorage of dental prostheses. Experimental studies. Scand J Plast Reconstr Surg. 1969;3:81–100.

    Article  CAS  Google Scholar 

  3. Albrektsson T. Direct bone anchorage of dental implants. J Prosthet Dent. 1983;50:255–61.

    Article  CAS  Google Scholar 

  4. Depprich R, Naujoks C, Ommerborn M, et al. Current findings regarding zirconia implants. Clin Implant Dent Relat Res. 2014;16:124–37.

    Article  Google Scholar 

  5. Albrektsson B, Chrcanovic B, Östman PO, et al. Initial and long-term crestal bone responses to modern dental implants. Periodontol 2000. 2017;73:41–50.

    Article  Google Scholar 

  6. Berglundh T, Abrahamsson I, Lang NP, et al. De novo alveolar bone formation adjacent to endosseous implants. Clin Oral Implants Res. 2003;14:251–62.

    Article  Google Scholar 

  7. Kuzyk PRT, Schemitsch EH. The basic science of peri-implant bone healing. Indian J Orthop. 2011;45:108–15.

    Article  Google Scholar 

  8. Ueda M, Hibino Y, Niimi A. Usefulness of dental implants in maxillofacial reconstruction. J Long Term Effects Med Implants. 1999;9:349–66.

    CAS  Google Scholar 

  9. Verdonck HW, Meijer GJ, Laurin T, et al. Assessment of vascularity in irradiated and nonirradiated maxillary and mandibular minipig alveolar bone using laser doppler flowmetry. Int J Oral Maxillofac Implants. 2007;22:774–8.

    PubMed  Google Scholar 

  10. Bagan JV, Murillo J, Jimenez Y, et al. Avascular jaw osteonecrosis in association with cancer chemotherapy: series of 10 cases. J Oral Pathol Med. 2005;34:120–3.

    Article  CAS  Google Scholar 

  11. Taylor KH, Middlefell S, Mizen KD. Osteonecrosis of the jaws induced by anti-RANk ligand therapy. Br J Oral and Maxillofacial Surg. 2010;48:221–3.

    Article  CAS  Google Scholar 

  12. Diz P, Lopez-Cedrun JL, Aranez J, et al. Denosumab-related osseous necrosis of the jaw. J Amer Dent Assn. 2012;143:981–4.

    Article  Google Scholar 

  13. de F Oliveria H, Panzer H, Celia R. Capacity of denture plaque/biofilm removal and anti-microbial action of a new denture paste. Braz Dent J. 2000;11:97–104.

    Google Scholar 

  14. Okay DJ, Genden E, Buchbinder D, et al. Prosthetic guidelines for surgical reconstruction of the maxilla. A classification system for defects. J Prosthet Dent. 2001;86:352–63.

    Article  CAS  Google Scholar 

  15. Chen MH, Lyons KM, Tause-Smith A. Clinical significance of the use of resonance frequence analysis in assessing implant stability. A systematic review. Int J Prosthodont. 2019;32:51–8.

    Article  Google Scholar 

  16. Schoen PJ, Reintsema H, Raghoebar GM, et al. The use of implant-retained mandibular prostheses in the oral rehabilitation of head and neck cancer patients. A review and rationale for treatment planning. Oral Oncol. 2004;40:862–71.

    Google Scholar 

  17. Ivanoff CJ, Hallgren C, Widmark G, et al. Histological evaluation of the bone integration of (TiO2) blasted and turned titanium microimplants in humans. 2001;12:128–34.

    Google Scholar 

  18. Buser D, Broggini N, Wieland M, et al. Enhanced bone apposition to a chemically modified SLA titanium surface. J Dent Res. 2004;83:529–33.

    Article  CAS  Google Scholar 

  19. Ersanli S, Karabuda C, Beck F, et al. Resonance frequency analysis of one stage dental implant stability during the osseointegration period. J Periodontol. 2005;76:1066–71.

    Article  CAS  Google Scholar 

  20. Curi MM, Condezo EFB, Ribeiro KDCB, et al. Long-term success of dental implants in patients with head and neck cancer after radiation therapy. Int J Oral Maxillofac Surg. 2018;47:783–8.

    Article  CAS  Google Scholar 

  21. Shifman A, Lepley JB. Prosthodontic management of post-surgical soft tissue deformities associated with partial mandibulectomy. Part 1: Loss of the vestibule. J Prosthet Dent. 1982;48:178–83.

    Google Scholar 

  22. Bouri A Jr, Bissada N, Al-Zahrani MS, et al. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofacial Implants. 2008;23:323–6.

    Google Scholar 

  23. Judy KW, Robertson E, Chabra D, et al. Prosthetic rehabilitation with HA-coated root form implants after restoration of mandibular continuity. Int J Oral Implantol. 1990;8:25–8.

    Google Scholar 

  24. Borlase G. Use of obturators in rehabilitation of maxillectomy defects. Ann Royal Australian Coll Dental Surg. 2000;15:75–9.

    CAS  Google Scholar 

  25. Olsen KD, Devine KD, Weiland LH. Mucoepidermoid carcinoma of the oral cavity. Otolaryngol Head Neck Surg. 1981;89:783–91.

    Article  CAS  Google Scholar 

  26. Curtis TA. Treatment planning for intraoral maxillofacial prosthetics for cancer patients. J Prosthet Dent. 1967;18:70–6.

    Google Scholar 

  27. Aramany MA, Myers EN. Prosthetic reconstruction following resection of the hard and soft palate. J Prosthet Dent. 1978;40:174–8.

    Article  CAS  Google Scholar 

  28. Deepanandan L, Narayanan V, Baig MF. Mandibular invasion of squamous cell carcinoma: factors determining surgical resection of mandible using computerized tomography and histopathologic study. J Maxillofacial Oral Surg. 2010;9:48–53.

    Article  CAS  Google Scholar 

  29. Yap YL, Lim J, Ong WC. Stabilization of mobile mandibular segments in mandibular reconstruction: Use of a spanning reconstruction plate. Craniomaxillofac Trauma Reconstr. 2012;5:123–6.

    Google Scholar 

  30. Karfage A, Schoen PJ, Raghoebar GM, et al. Five year followup of oral functioning and quality of life in patients with oral cancer with implant-retained mandibular overdentures. J Sci Special Head Neck. 2011;33:831–9.

    Article  Google Scholar 

  31. Shaw R, Sutton D, Brown J, et al. Further malignancy in field change adjacent to osseointegrated implants. Int J Oral Maxillofacial Surg. 2004;33:353–5.

    Article  CAS  Google Scholar 

  32. Sonis ST. Mucositis: the impact, biology and therapeutic opportunities of oral mucositis. Oral Oncol 2009. 2009;45:1015–20.

    CAS  Google Scholar 

  33. Jackson LK, John DB, Sosman JA, et al. Oral health in oncology: impact of immunotherapy. Support Care Cancer. 2015;23:1–3.

    Article  Google Scholar 

  34. Chu KP, Le QT. Intensity-modulated and image-guided radiation therapy for head and neck cancers. Front Radiation Oncol. 2011;43:217–54.

    Article  Google Scholar 

  35. Hong CH, Napenas JJ, Hodgson BD, Stokman MA, et al. A systematic review of dental disease in patients undergoing cancer therapy. Support Care Cancer. 2011;18:1007–21.

    Article  Google Scholar 

  36. Lalla RV, Saunders DP, Peterson DE. Chemotherapy or radiation-induced mucositis. Dent Clin N Am. 2014;58:341–9.

    Article  Google Scholar 

  37. Chen YK, Hou HA, Chow JM, Chen YC, Hsueh PR, Tien HF. The impact of oral herpes simplex virus infection and candidiasis on chemotherapy-induced oral mucositis among patients with hematological malignancies. Eur J Clin Microbiol Infect Dis. 2011;30:753–9.

    Article  CAS  Google Scholar 

  38. Lalla RV, Bowen J, Barasch A, et al. MASCC/ISOO clinical practice guidelines for the management of mucositis secondary to cancer therapy. Cancer. 2014;120:1453–61.

    Article  Google Scholar 

  39. Villa A, Connell CL, Abati S. Diagnosis and management of xerostomia and hyposalivation. Ther Clin Risk Manag. 2015;11:45–51.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Prosthodontics, Division of Comprehensive Oral Health, The University of North Carolina, Adams School of Dentistry, Chapel Hill, NC, USA

    Rafiullah Bashiri

  2. Department of Restorative Dentistry, Temple University Maurice H. Kornberg School of Dentistry, Philadelphia, PA, USA

    Maryam Khalili

  3. Department of Restorative Dentistry, Rutgers School of Dental Medicine, Newark, NJ, USA

    Saul Weiner

  4. Department of Biomedical Engineering, Stevens institute of Technology, Hoboken, NJ, USA

    Saul Weiner

Authors
  1. Rafiullah Bashiri
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Maryam Khalili
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Saul Weiner
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Saul Weiner .

Editor information

Editors and Affiliations

  1. Canary Center at Stanford for Cancer Early Detection, Stanford University School of Medicine, Palo Alto, CA, USA

    Rami El Assal

  2. Division of Plastic & Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Palo Alto, CA, USA

    Dyani Gaudilliere

  3. Department of Oral and Maxillofacial Surgery, University of California, San Francisco, San Francisco, CA, USA

    Stephen Thaddeus Connelly

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Bashiri, R., Khalili, M., Weiner, S. (2021). Rehabilitation of Oral Cancer Patients using Dental Implants and Maxillofacial Prosthetics. In: El Assal, R., Gaudilliere, D., Connelly, S.T. (eds) Early Detection and Treatment of Head & Neck Cancers. Springer, Cham. https://doi.org/10.1007/978-3-030-69859-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-69859-1_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-69858-4

  • Online ISBN: 978-3-030-69859-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation