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Treatment guidelines

Radiotherapy

Key points

  • Implant-based treatment in radiated bone is possible and often the preferred way to provide a functional restoration
  • Doses above 55 Gy (Gray) interfere critically with osseointegration
  • Adequate antibiotic therapy and eventually hyperbaric oxygen may prevent osteoradionecrosis
  • Due to functional limitations, oral hygiene home care and need for checking cancer recurrences, consider removable prostheses/obturators

Clinical topics

Systemic factors
Patient assessment

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Additional internal materials

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Patient cases

A 47-year-old male patient diagnosed with a maxillary osteosarcoma, treated with excision, leaving a large oro-antral / oro-nasal fistula. He had to wear an obturator which leaked and was uncomfortable, affecting speech & function with a severe impact on his quality of life.

Radiology
CAD/CAM
Posterior implants

Questions

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