Oral rehabilitation after squamous cell carcinoma mandibular resection

Introduction: Squamous cell carcinoma of the oral cavity is the most common cause of mandibular defect. The functional and aesthetic impacts of this surgery must be considered. The number of mandibular resections depends on the TNM classification of the tumor. Mandibular reconstruction by a fibula f...

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Autores principales: Dimmock Mylène, Alshehri Sara, Delanoë Franck, Pradines Marc, Georg Ségolène, Lauwers Frédéric, Lopez Raphael
Formato: article
Lenguaje:EN
Publicado: EDP Sciences 2021
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Acceso en línea:https://doaj.org/article/1fec8b4bf09548f7a31f5f54a17bcce0
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spelling oai:doaj.org-article:1fec8b4bf09548f7a31f5f54a17bcce02021-11-08T15:20:47ZOral rehabilitation after squamous cell carcinoma mandibular resection2608-132610.1051/mbcb/2021016https://doaj.org/article/1fec8b4bf09548f7a31f5f54a17bcce02021-01-01T00:00:00Zhttps://www.jomos.org/articles/mbcb/full_html/2021/04/mbcb210076/mbcb210076.htmlhttps://doaj.org/toc/2608-1326Introduction: Squamous cell carcinoma of the oral cavity is the most common cause of mandibular defect. The functional and aesthetic impacts of this surgery must be considered. The number of mandibular resections depends on the TNM classification of the tumor. Mandibular reconstruction by a fibula free flap has become the gold standard. Unfortunately, not all mandibular resections are rehabilitated. The purpose of this study is to evaluate oral rehabilitation after mandibular resection in patients with squamous cell carcinoma. Materials and methods: A retrospective study was conducted to evaluate oral rehabilitations according to the type of surgical resection and reconstruction. The secondary evaluation criteria were type of rehabilitation, implant success rate, post-radiotherapy delay, rehabilitation success rate, and causes of non-rehabilitation. Results: The study included 157 patients with mandibular resection. Of the patients, 26.7 percent received oral rehabilitation. All rehabilitation with implants was functional. The main causes of non-rehabilitation were death or recurrences related to the progression of the disease, postoperative anatomical difficulties, and cost of oral rehabilitation. Conclusion: Oral rehabilitation after mandibular resection surgery is insufficient. A rehabilitation unit including a maxillofacial surgeon, oral surgeon, and dentist is essential. Implementation of the unit should be considered as soon as possible. The cost of rehabilitation should not be a limiting factor.Dimmock MylèneAlshehri SaraDelanoë FranckPradines MarcGeorg SégolèneLauwers FrédéricLopez RaphaelEDP Sciencesarticleoral rehabilitationsquamous cell carcinomamandibular resectionprosthodonticdental implantDentistryRK1-715SurgeryRD1-811ENJournal of Oral Medicine and Oral Surgery, Vol 27, Iss 4, p 52 (2021)
institution DOAJ
collection DOAJ
language EN
topic oral rehabilitation
squamous cell carcinoma
mandibular resection
prosthodontic
dental implant
Dentistry
RK1-715
Surgery
RD1-811
spellingShingle oral rehabilitation
squamous cell carcinoma
mandibular resection
prosthodontic
dental implant
Dentistry
RK1-715
Surgery
RD1-811
Dimmock Mylène
Alshehri Sara
Delanoë Franck
Pradines Marc
Georg Ségolène
Lauwers Frédéric
Lopez Raphael
Oral rehabilitation after squamous cell carcinoma mandibular resection
description Introduction: Squamous cell carcinoma of the oral cavity is the most common cause of mandibular defect. The functional and aesthetic impacts of this surgery must be considered. The number of mandibular resections depends on the TNM classification of the tumor. Mandibular reconstruction by a fibula free flap has become the gold standard. Unfortunately, not all mandibular resections are rehabilitated. The purpose of this study is to evaluate oral rehabilitation after mandibular resection in patients with squamous cell carcinoma. Materials and methods: A retrospective study was conducted to evaluate oral rehabilitations according to the type of surgical resection and reconstruction. The secondary evaluation criteria were type of rehabilitation, implant success rate, post-radiotherapy delay, rehabilitation success rate, and causes of non-rehabilitation. Results: The study included 157 patients with mandibular resection. Of the patients, 26.7 percent received oral rehabilitation. All rehabilitation with implants was functional. The main causes of non-rehabilitation were death or recurrences related to the progression of the disease, postoperative anatomical difficulties, and cost of oral rehabilitation. Conclusion: Oral rehabilitation after mandibular resection surgery is insufficient. A rehabilitation unit including a maxillofacial surgeon, oral surgeon, and dentist is essential. Implementation of the unit should be considered as soon as possible. The cost of rehabilitation should not be a limiting factor.
format article
author Dimmock Mylène
Alshehri Sara
Delanoë Franck
Pradines Marc
Georg Ségolène
Lauwers Frédéric
Lopez Raphael
author_facet Dimmock Mylène
Alshehri Sara
Delanoë Franck
Pradines Marc
Georg Ségolène
Lauwers Frédéric
Lopez Raphael
author_sort Dimmock Mylène
title Oral rehabilitation after squamous cell carcinoma mandibular resection
title_short Oral rehabilitation after squamous cell carcinoma mandibular resection
title_full Oral rehabilitation after squamous cell carcinoma mandibular resection
title_fullStr Oral rehabilitation after squamous cell carcinoma mandibular resection
title_full_unstemmed Oral rehabilitation after squamous cell carcinoma mandibular resection
title_sort oral rehabilitation after squamous cell carcinoma mandibular resection
publisher EDP Sciences
publishDate 2021
url https://doaj.org/article/1fec8b4bf09548f7a31f5f54a17bcce0
work_keys_str_mv AT dimmockmylene oralrehabilitationaftersquamouscellcarcinomamandibularresection
AT alshehrisara oralrehabilitationaftersquamouscellcarcinomamandibularresection
AT delanoefranck oralrehabilitationaftersquamouscellcarcinomamandibularresection
AT pradinesmarc oralrehabilitationaftersquamouscellcarcinomamandibularresection
AT georgsegolene oralrehabilitationaftersquamouscellcarcinomamandibularresection
AT lauwersfrederic oralrehabilitationaftersquamouscellcarcinomamandibularresection
AT lopezraphael oralrehabilitationaftersquamouscellcarcinomamandibularresection
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