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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EDP Sciences
2021
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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) |
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oral rehabilitation squamous cell carcinoma mandibular resection prosthodontic dental implant Dentistry RK1-715 Surgery RD1-811 |
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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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