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KMID : 1034220200120010018
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Journal fo Korean Academy of Osseointegration
2020 Volume.12 No. 1 p.18 ~ p.21
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Implant treatment and management for irradiated patients: cases and literature review
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Lee Young-Man
Gong Yoon-Soo
Choi Dong-Ju
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Abstract
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The treatment of an implant after chemotherapy could be challenging for both the patient and the surgeon, due to deteriorated healing capability. However, for this reason, if restoring through implants is restricted, the patient’s quality of life will have to drop dramatically. The authors have placed implants in patients who had been treated for carcinoma in the last 10 years. Seven patients who are still undergoing medical treatment have been observed. Of the 44 implants, 35 implants were newly placed. Three of the implants were removed and placed again. Nine implants were newly implanted after chemotherapy. It can be seen that the 3 removed implants were difficult to manage due to peri-implantitis before chemotherapy, and other implants did not show any special difference from before the anti-cancer treatment. Patients who have had carcinoma and have completed treatment are advised to place the implant after determining whether the patient has recovered sufficiently by setting a rest period of 6 months to 2 years, and setting a healing period of at least 6 months after implantation before initiating restorative procedure. It is also desirable to induce bone formation around the implant through progressive loading.
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KEYWORD
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Chemotherapy, Cancer, Implant
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