- AutorIn
- Ramona Schweyen
- Waldemar Reich
- Dirk Vordermark
- Thomas Kuhnt
- Andreas Wienke
- Jeremias Hey
- Titel
- Factors Influencing the Survival Rate of Teeth and Implants in Patients after Tumor Therapy to the Head and Neck Region
- Untertitel
- Part 1: Tooth Survival
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:15-qucosa2-921361
- Quellenangabe
- Journal of Clinical Medicine
Erscheinungsjahr: 2022
Jahrgang: 11
Heft: 20
Seiten: 1-15
E-ISSN: 2077-0383 - Erstveröffentlichung
- 2022
- Abstract (EN)
- We aimed to evaluate possible factors influencing the long-term survival of teeth after tumor therapy to the head and neck region with and without radiation. Between January 2019 and January 2020, patients who underwent for head and neck cancer and received dental treatment before and after at the Department of Prosthetic Dentistry of the Martin Luther University Halle- Wittenberg were enrolled in the study. Clinical examination with assessment of dental status and stimulated salivary flow rate (SFR) was performed and information about disease progression and therapy was retrieved from medical records. Of 118 patients (male: 70.3%; mean age: 63.2 12.4 years), 95 received radiotherapy (RT), and 47 were administered radio-chemotherapy (RCT). The teeth of irradiated patients exhibited a lower 5-year survival probability (74.2%) than those of nonirradiated patients (89.4%). The risk of loss (RL) after RT increased with nicotine use, presence of intraoral defects, reduced SFR, RCT and regarding mandibular teeth, and decreased with crowning following. Lower SFR increased the RL even without RT. Consideration of patient’s treatment history, individual risk profile, and clinical findings during the prosthetic planning phase could enable earlier, more targeted dental treatment after (e.g., timely crowning).
- Andere Ausgabe
- Link zur Erstveröffentlichung
DOI: 10.3390/jcm11206222 - Freie Schlagwörter (EN)
- head and neck cancer; tooth loss; risk factors; radiation therapy
- Klassifikation (DDC)
- 610
- Verlag
- MDPI, Basel
- Version / Begutachtungsstatus
- publizierte Version / Verlagsversion
- URN Qucosa
- urn:nbn:de:bsz:15-qucosa2-921361
- Veröffentlichungsdatum Qucosa
- 19.06.2024
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis
CC BY 4.0