Overdenture on dental remaining in oncological patients: Case report

Authors

DOI:

https://doi.org/10.14295/bds.2020.v23i4.2003

Abstract

Head and neck cancer occupy the seventh place among the most common neoplasms in the world, with an annual incidence of approximately 640,000 new cases. Radiotherapy treatment has been highlighted, because there is greater tissue preservation, possibility of regression of the disease, decreased tumor volume, prevention of possible tumor recurrences and metastases, and even total cancer cure, but patients undergoing radiotherapy are at high risk of osteoradionecrosis if they perform surgical interventions in the region, such as dental implants and dental extraction, making prosthetic rehabilitation of partially edentulous patients after treating oral cancer something complex and often omitted; although it is a crucial factor in restoring oral function. Thus, the aim of the present study was to describe the planning, treatment and follow-up of a twelve-month prosthetic approach to rehabilitate the lower arch shape and function of a partially edentulous patient undergoing head and neck radiotherapy with a full denture mucus supported and tooth retained. After twelve months of follow-up, it was possible to evidence the functional and aesthetic clinical success, with preserved occlusal pattern, soft and bone tissue around[ and dental roots.

KEYWORDS

Radiotherapy; Head and Neck Neoplasms; Overdentures; Oral Rehabilitation.

 

 

References

Ferlay J, Shin HR, Bray F, David Forman, Colin Mathers, Donald Maxwell Parkin. Estimates of worldwide burden of cancer 2008: GLOBOCAN 2008. Int J Cancer. 2010:127:2893-917. doi: 10.1002/ijc.25516.

Paiola FG, Lopes FC, Mazzi-Chaves JF, Pereira RD, Oliveira HF, Queiroz AM, Souza-Neto MD. How to improve root canal filling in teeth subjected to radiation therapy for cancer. Braz Oral Res. 2018 Nov 29;32:e121. doi: 10.1590/1807-3107bor-2018.vol32.0121.

Shah JP, Gil Z. Current concepts in management of oral cancer surgery. Oral Oncol. 2009 Apr-May;45(4-5):394-401. doi: 10.1016/j.oraloncology.2008.05.017.

Huang SH, O´Sullivan B. Oral cancer: Current role of radiotherapy and chemotherapy. Med Oral Patol Oral Cir Bucal. 2013 Mar 1;18(2):e233-40.

Eriksson D, Stigbrand T. Radiation-induced cell death mechanisms. Tumour Biol. 2010 Aug;31(4):363-72. doi: 10.1007/s13277-010-0042-8. Epub 2010 May 20.

Kohli K, Corns R, Vinnakota K, Steiner P, Elith C, Schellenberg D, Kwan W, Karvat A. A bioimpedance analysis of head-and-neck cancer patients undergoing radiotherapy. Curr Oncol. 2018 Jun;25(3):e193-e199. doi: 10.3747/co.25.3920.

Maio MF. Avaliação dos efeitos da radiação ionizante em materiais utilizados em restaurações dentárias. 2009. Dissertação (Mestrado em Tecnologia Nuclear - Aplicações) - Instituto de Pesquisas Energéticas e Nucleares, Universidade de São Paulo, São Paulo, 2009. doi:10.11606/D.85.2009.tde-27102009-105515. Acesso em: 2019-08-23.

Korfage A, Raghoebar GM, Slater JJRH, Roodenburg JLN, Witjes MJH, Vissink A, Reintsema H. Overdentures on primary mandibular implants in pacientes with oral cancer: a follow-up study over 14 years. British Journal of Oral and Maxillofacial Surgery. 2014;52(9):798-805. doi: 10.1016/j.bjoms.2014.05.013. Epub 2014 Jun 17.

Tancu AM, Melescanu Imre M, Preoteasa CT, Preoteasa E. Therapeutical attitudes in tooth supported overdentures with ball attachements. Case report. J Med Life. 2014;7 Spec No. 4(Spec Iss 4):95-8.

Bansal S, Aras MA, Chitre V. Tooth Supported Overdenture Retained with Custom Attachments: a Case Report. J Indian Prosthodont Soc. 2014 Dec;14(Suppl 1):283-6. doi: 10.1007/s13191-013-0340-0.

Chronopoulos A, Zarra T, Ehrenfeld M, Otto S. Osteoradionecrosis of the jaws: definition, epidemiology, staging and clinical and radiological findings. A concise review. Int Dent J. 2018 Feb;68(1):22-30. doi: 10.1111/idj.12318.

Nassar HI. Patient satisfaction of tooth supported overdentures utilizing ball attachments. Future Dent J. 2016 oct; 2(2):70–3. doi: 10.1016/j.fdj.2016.10.003.

Kutkut A, Bertoli E, Frazer R, Pinto-Sinai G, Fuentealba Hidalgo R, Studts J. A systematic review of studies comparing conventional complete denture and implant retained overdenture. J Prosthod Res. 2018 Jan;62(1):1-9. doi: 10.1016/j.jpor.2017.06.

Yan Q, Hua F, Shi B. Patients Are More Satisfied With Implant-Supported Mandibular Overdentures Than With Conventional Dentures. J Evidence-Based Dental Practice. 2017 Dec;17(4):411-413. doi: 10.1016/j.jebdp.2017.10.010.

Branemark PI. Osseointegration and its experimental background. The J Prosthetic Dent. 1983 Sep;50(3):399-410. doi:10.1016/s0022-3913(83)80101-2.

Patzelt SBM, Bahat O, Reynolds MA, Strub JR. The all-on-four treatment concept: a systematic review. Clin Implant Dent Relat Res. 2014 Dec;16(6):836-55. doi: 10.1111/cid.12068.

Buser D, Sennerby L, De Bruyn H. Modern implant dentistry based on osseointegration: 50 years of progress, current trends and open questions. Periodontology 2000. 2017 Feb;73(1):7-21. doi: 10.1111/prd.12185.

Nabil S, Samman N. Incidence and prevention of osteoradionecrosis after dental extraction in irradiated patients: a systematic review. Int J Oral Maxillofac Surg. 2011 Mar;40(3):229-43. doi: 10.1016/j.ijom.2010.10.005.

Kuo TJ, Leung CM, Chang HS, Wu CN, Chen WL, Chen GJ, Lai YC, Huang, WC. Jaw osteoradionecrosis and dental extraction after head and neck radiotherapy: A nationwide population-based retrospective study in Taiwan. Oral Oncol. 2016 May;56:71-7. doi: 10.1016/j.oraloncology.2016.03.005.

Schuch C, De Moraes AP, Sarkis-Onofre R, Pereira-Cenci T, Boscato N. An alternative method for the fabrication of a root-supported overdenture: a clinical report. J Prosthetic Dentistry. 2013, 109(1),1–4. doi: 10.1016/S0022-3913(13)00013-9.

Mercouriadis-Howald A, Rollier N, Tada S, McKenna G, Igarashi K, Schimmel M. Loss of natural abutment teeth with cast copings retaining overdentures: a systematic review and meta-analysis. J Prosthod Res. 2018,62(4),407–415. doi: 10.1016/j.jpor.2018.05.002.

Crum RJ, Loiselle RJ. Oral perception and proprioception: a review of the literature and its significance to prosthodontics. J Prosthetic Dent. 1972,28(2), 215–230. doi: 10.1016/0022-3913(72)90141-2.

Pacer RJ, Bowman DC. Occlusal force discrimination by denture patients. The Journal of Prosthetic Dentistry. 1975, 33(6), 602–9. J Prosthet Dent. 1975 Jun;33(6):602-9. doi: 10.1016/s0022-3913(75)80120-x.

Meyer G, Fanghanel J, Proff P. Morphofunctional aspects of dental implants. Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft. 2012,194(2), 190–194. doi: 10.1016/j.aanat.2011.09.006

Hsieh WW, Luke A, Alster J, Weiner S. Sensory discrimination of teeth and implant-supported restorations. Int J Oral Maxillofac Implants. 2010;25(1):146–52.

Downloads

Published

2020-09-30 — Updated on 2020-09-30

Versions

Issue

Section

Case Report / Clinical Technique Manuscript