种植修复在头颈部肿瘤放疗后的应用及研究进展

doi:10.19438/j.cjoms.2018.02.018

中国口腔颌面外科杂志 ›› 2018, Vol. 16 ›› Issue (2): 185-187.doi: 10.19438/j.cjoms.2018.02.018

种植修复在头颈部肿瘤放疗后的应用及研究进展

邓刚¹, 刘晶¹, 于德栋^1,*, 吴轶群^1,2,*

1.上海交通大学医学院附属第九人民医院口腔第二门诊部,上海 201999;
2. 上海交通大学医学院附属第九人民医院·口腔医学院口腔种植科, 上海市口腔医学重点实验室,上海200011;

收稿日期:2017-05-12 修回日期:2017-08-21 出版日期:2018-03-20 发布日期:2018-04-08
通讯作者: 于德栋,E-mail：yudedong@sjtu.edu.cn;吴轶群,E-mail：yiqunwu@outlook.com。^*共同通信作者
作者简介:邓刚（1974-）,男,硕士, E-mail：75denggang@163.com
基金资助:
国家自然科学基金（51605289）; 上海交通大学医学院附属第九人民医院学科融合基金; 上海交通大学医学院附属第九人民医院院基金（syz2015-009）; 上海交通大学医工交叉重点项目（YG2016ZD01）

Application and research progress of dental implant in patients with head and neck neoplasms after radiotherapy

DENG Gang¹, LIU Jing¹, YU De-dong¹, WU Yi-qun^1,2

1.Second Dental Clinic, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 201999;
2. Department of Oral Implantology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology. Shanghai 200011,China;

Received:2017-05-12 Revised:2017-08-21 Online:2018-03-20 Published:2018-04-08

摘要/Abstract

摘要： 目前头颈部肿瘤的常规治疗主要是手术结合放疗,而术后颌骨及相应的牙列缺损严重影响患者的生活质量。近年来,随着种植牙的普及,更多患者选择种植牙修复头颈部手术后牙列缺损或牙列缺失。手术后放疗不仅增加颌骨骨髓炎及黏膜炎的发病率,甚至导致颌骨骨坏死（osteoradionecrosis, ORN）,影响种植体的存活。因此,尽可能减小放疗对颌骨的影响并选择合适的种植时机、种植体修复方式及干预手段,对种植体在颌骨内的存留起着关键作用。本文就种植体在颌骨放疗区的应用及研究进展作一综述。

关键词: 种植, 放射治疗, 干预手段

Abstract: Surgery combined with radiotherapy and chemotherapy are currently the main treatment for head and neck tumors. Postoperative jaw and dentition defect seriously affect the life quality of patients. In recent years, with the development of dental implants, more patients tend to choose implants to restore their missing teeth after surgery. Radiotherapy after surgery not only increased the incidence of osteomyelitis and mucositis, led to jaw osteoradionecrosis, but also affected the survival of dental implants. Therefore, minimizing the impact of radiotherapy on the jaw and taking the right implantation time, appropriate implant restoration method, and intervention of implant retention play a key role. In this paper, the application and research progress of dental implant in jaw after radiotherapy were reviewed.

Key words: Implants, Radiation therapy, Intervention

中图分类号:

R782.1

邓刚, 刘晶, 于德栋, 吴轶群. 种植修复在头颈部肿瘤放疗后的应用及研究进展[J]. 中国口腔颌面外科杂志, 2018, 16(2): 185-187.

DENG Gang, LIU Jing, YU De-dong, WU Yi-qun. Application and research progress of dental implant in patients with head and neck neoplasms after radiotherapy[J]. China J Oral Maxillofac Surg, 2018, 16(2): 185-187.

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种植修复在头颈部肿瘤放疗后的应用及研究进展

Application and research progress of dental implant in patients with head and neck neoplasms after radiotherapy

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