Outcomes of osseointegrated implants in patients with benign and malignant pathologies of the head and neck: a 10-year single-centre study

Khadembaschi, Darius; Borgna, Scott C.; Beech, Nicholas; Batstone, Martin

doi:10.1016/j.ijom.2021.02.019

Cited by 3 publications

(1 citation statement)

References 42 publications

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“…This vascular compromise is further increased in smokers, as smoking causes endothelial dysfunction and reduction in alveolar blood supply [26,27]. Khadembaschi et al reported a negative impact of smoking on the overall survival following implant placement in composite free flaps for reconstruction of benign and malignant head and neck pathologies [28]. As smokers are at a higher risk of post-operative infection, marginal bone loss and implant failure, which has been confirmed by various studies [29].…”

Section: Discussionmentioning

confidence: 90%

Long-term survival of implant-based oral rehabilitation following maxillofacial reconstruction with vascularized bone flap

Dessel

Shujaat

et al. 2022

Int J Implant Dent

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Aim The aim of the study was to assess the 5-year cumulative survival rate of implant-based dental rehabilitation following maxillofacial reconstruction with a vascularized bone flap and to investigate the potential risk factors which might influence the survival rate. Materials and methods A retrospective cohort study was designed. Inclusion criteria involved 18 years old or above patients with the availability of clinical and radiological data and a minimum follow-up 1 year following implant placement. The cumulative survival rate was analyzed by Kaplan–Meier curves and the influential risk factors were assessed using univariate log-rank tests and multivariable Cox-regression analysis. Results 151 implants were assessed in 40 patients with a mean age of 56.43 ± 15.28 years at the time of implantation. The mean number of implants placed per patient was 3.8 ± 1.3 with a follow-up period of 50.0 ± 32.0 months. The cumulative survival at 1-, 2- and 5-years was 96%, 87%, and 81%. Patients with systemic diseases (HR = 3.75, 95% CI 1.65–8.52; p = 0.002), irradiated flap (HR = 2.27, 95% CI 1.00–5.17; p = 0.05) and poor oral hygiene (HR = 11.67; 95% CI 4.56–29.88; p < 0.0001) were at a significantly higher risk of implant failure. Conclusion The cumulative implant survival rate was highest at 1st year followed by 2nd and 5th year, indicating that the risk of implant failure increased over time. Risk indicators that seem to be detrimental to long-term survival include poor oral hygiene, irradiated flap and systemic diseases.

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