Evolution of oral cancer treatment in an andalusian population sample: Rehabilitation with prosthetic obturation and removable partial prosthesis

Abstract

BackgroundRadical surgical resection as a treatment modality for oral cancer often leads to an extensive deficit in both the maxillary and mandibular levels, where the use of a palatal obturator prosthesis (POP) or removable partial denture (RPP). The aim of this study was to evaluate the treatment with POP and RPP in patients treated for oral cancer in the Unit of Prosthetic Rehabilitation of the University Hospital Virgen del Rocío in a period of 20 years.Material and MethodsRetrospective descriptive study during the years 1991 and 2011 analyzing oral cancer type, characteristics, treatment and follow-up. The sample consisted of patients whose tumor had previously been removed and who had been referred to the Oncological Rehabilitation Unit of the Oral and Maxillofacial Surgery Unit of the “Virgen del Rocío” University Hospital for rehabilitation. The inclusion criteria were patients whose underlying pathology was any type of neoplasia, which after its treatment had been referred to the aforementioned Oncological Prosthetic Rehabilitation unit.ResultsOf the 45 patients included in our study, 15 patients were rehabilitated with palatal obturator (33.3%) and 5 patients with removable partial denture (11.1%). The mean age of the sample of patients with POP was 57.3 ± 9.23, while the mean age of the sample of patients with RPP was 58 ± 13.5. The most common underlying pathology in patients with POP was squamous cell carcinoma (60%), whereas in patients with RPP it was 100%. The most frequent location found among POP patients was the upper jaw, while in the PRP patients there was no predominant location. The univariate and multivariate logistic regressions did not show any statistically significant association between the independent variables age, sex, smoking habit and alcoholic habit with the dependent variable type of rehabilitating prosthesis.ConclusionsBased on our data, we can conclude that RPP is used in few cases of oncological rehabilitation. The POP has a greater use, as long as the defect in the bones of the facial middle third is limited. Key words:Head and neck cancer, reconstructive surgery, Palatal obturators, removable partial dentures.

Osteonecrosis maxilar por electrocirugía enseñanzas de un caso clínico

“…La electrocirugía es una tecnología relativamente sencilla en su utilización y de creciente popularidad en el campo de la odontología pues ha demostrado buenos resultados en tratamientos de odontología estética y restaurativa, manejo de Linfangiomas en cavidad oral, Hiperpigmentación e hipertrofia gingival, Gingivectomías y nivelación de puntos Zenith, entre otras aplicaciones clínicas (3,9,10) .…”

Profile of Oncological Patients Needing Rehabilitation by Dental and Bucomaxillofacial Prostheses in a Brazilian Subpopulation

“…The result was presented as absolute and relative frequencies. To analyze possible associations between independent variables and the dependent variable not completing the prosthesis and between the independent variables and the dependent variables reason for not completing the prosthesis, multinominal logistic regression was applied, following previously used methodology 12 . Statistical tests were performed using the SPSS version 22.0 program and results of p <0.05 were considered signi cant.…”

Profile of cancer patients requiring dental and oral-maxillofacial prostheses in a Brazilian subpopulation

“…The data were expressed as absolute and relative frequencies. Multinominal logistic regression was performed to analyze possible associations between the independent variables and dependent variables (not completing prosthetic rehabilitation and reason for not completing rehabilitation), as described elsewhere ( 11 ). Statistical tests were performed using the SPSS program, version 22.0.…”