Functional benefits of implants placed during ablative surgery: A 5-year prospective study on the prosthodontic rehabilitation of 56 edentulous oral cancer patients

• Published in: Head & neck Vol. 38; no. S1; pp. E2103 - E2111
• Main Authors: Wetzels, Jan Willem, Koole, Ron, Meijer, Gert J., de Haan, Anton F. J., Merkx, Matthias A. W., Speksnijder, Caroline M.
• Format: Journal Article
• Language: English
• Published: United States Blackwell Publishing Ltd 01-04-2016
• Subjects: Aged; Dental Implants; Dental Prosthesis, Implant-Supported; dentures; Female; head and neck neoplasms; Humans; Male; Mastication; Middle Aged; Mouth Neoplasms - surgery; Mouth, Edentulous; Prospective Studies; prosthodontics; Reconstructive Surgical Procedures; Time Factors; head and neck neoplasms; mastication; dentures; prosthodontics; dental implants
• ISSN: 1043-3074; 1097-0347
• DOI: 10.1002/hed.24389

Background
The timing of placement as well as the functional benefit of interforaminal implants in edentulous patients treated for oral cancer is unclear.
Methods
Fifty‐six patients were recruited at 2 institutions. In 1 institution, interforaminal implants were placed during ablative surgery, the other institution used conventional prosthodontics with optional placement of implants postsurgery (postponed‐placement). Masticatory performance, bite force, and subjective masticatory function were assessed before and 6 months, 1 year, and 5 years after surgery.
Results
Implant‐retained overdentures (IODs) demonstrated the highest bite force and the least problems with solid food and food choice. Masticatory performance was equal for IODs and conventional dentures. After 5 years, IODs from patients in the during‐ablative‐surgery cohort tend to have higher bite force and masticatory performance than those from patients in the postponed‐placement cohort.
Conclusion
IODs produce the highest overall masticatory function. Implant placement during ablative surgery seems to be functionally beneficial. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2103–E2111, 2016