Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 5 , Pages 812-818 , May 2006

Placement of Dental Implants in Irradiated Bone: The Case for Using Hyperbaric Oxygen

  • Gösta Granström, DDS, MD, PhD

      Affiliations

    • Professor and Chairman, Department of Otolaryngology, Head and Neck Surgery, Göteborg University, Gothenburg, Sweden.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Granström: ENT-clinic, Sahlgrenska University Hospital, SE-413 45 Gothenburg, Sweden

References 

  1. NIH Consensus Development Program (Dental Implants) . National Institutes of Health Consensus Development Conference Statement . 1988; Available at: http://consensus.nih.gov/1988/1988DentalImplants069html.htm. Accessed February 9, 2006
  2. Esser E , Wagner W . Dental implants following radical oral cancer surgery and adjuvant radiotherapy . Int J Oral Maxillofac Implants . 1997;12:552
  3. Granström G , Tjellström A , Brånemark P-I , et al.   Bone-anchored reconstruction of the irradiated head and neck cancer patient . Otolaryngol Head Neck Surg . 1993;108:334
  4. Marker P , Siemssen SJ , Bastholt L . Osseointegrated implants for prosthetic rehabilitation after treatment of cancer of the oral cavity . Acta Oncol . 1997;36:37
  5. Marx RE , Morales MJ . The use of implants in the reconstruction of oral cancer patients . Dent Clin North Am . 1998;42:177
  6. McGhee MA , Stern SJ , Callan D , et al.   Osseointegrated implants in the head and neck cancer patient . Head Neck . 1997;19:659
  7. Parel SM , Tjellström A . The United States and Swedish experience with osseointegration and facial prostheses . Int J Oral Maxillofac Implants . 1991;6:75
  8. Tolman DE , Taylor PF . Bone-anchored craniofacial prosthesis study (Irradiated patients) . Int J Oral Maxillofac Implants . 1996;11:612
  9. Wolfaardt JF , Wilkes GH , Parel SM , et al.   Craniofacial osseointegration (The Canadian experience) . Int J Oral Maxillofac Implants . 1993;8:197
  10. Granström G: Osseointegration in irradiated tissues. Experience from our first 100 treated patients. J Oral Maxillofac Surg 2006 (in press)
  11. Quirynen M , De Soete M , van Steenberghe D . Infectious risks for oral implants (A review of the literature) . Clin Oral Implant Res . 2002;13:1
  12. Granström G . Osseointegration in the irradiated patient . In:  Tolman D ,  Brånemark P-I editor. Osseointegration in Craniofacial Reconstruction . Chicago: Quintessence; 1998;p. 95–108
  13. Granström G , Tjellström A , Albrektsson T . Postimplantation irradiation for head and neck cancer treatment . Int J Oral Maxillofac Implants . 1993;8:495
  14. Esposito M , Hirsch J-M , Lekholm U , et al.   Biological factors contributing to failures of osseointegrated oral implants. II: Etiopathogenesis . Eur J Oral Sci . 1998;106:721
  15. Keller EE . Placement of dental implants in the irradiated mandible (A protocol without adjunctive hyperbaric oxygen) . J Oral Maxillofac Surg . 1997;55:972
  16. Keller EE , Tolman DE , Zuck SL , et al.   Mandibular endosseous implants and autogenous bone grafting in irradiated tissue (A 10-year retrospective study) . Int J Oral Maxillofac Implants . 1997;12:800
  17. Kirk I , Gray WH , Watson ER . Cumulative radiation effect . Clin Radiol . 1971;22:145
  18. Granström G , Bergström K , Tjellström A , et al.   A detailed analysis of titanium implants lost in irradiated tissues . Int J Oral Maxillofac Implants . 1994;9:653
  19. Granström G , Tjellström A . Effects of irradiation on osseointegration before and after implant placement. A report of three cases . Int J Oral Maxillofac Implants . 1997;12:547
  20. Marx R , Johnson RP . Studies on the radiobiology of osteoradionecrosis and their clinical significance . Oral Surg Oral Med Oral Pathol . 1987;64:379
  21. Wolfaardt J , Granström G , Friberg B , et al.   A retrospective study of the effects of chemotherapy on osseointegration . J Fac Somat Prosth . 1996;2:99
  22. Barber HD , Seckinger RJ , Hayden RE , et al.   Evaluation of osseointegration of endosseous implants in radiated vascularised fibula flaps to the mandible . J Oral Maxillofac Surg . 1995;53:640
  23. Schliephake H , Neukam F , Schmelzeisen R , et al.   Long-term results of endosteal implants used for resaturation of oral function after oncologic surgery . Int J Oral Maxillofac Surg . 1999;28:260
  24. Sclaroff A , Haughey B , Gay WD , et al.   Immediate mandibular reconstruction and placement of dental implants at the time of ablative surgery . Oral Surg Oral Med Oral Pathol . 1994;78:711
  25. Sennerby L , Roos J . Surgical determinants of clinical success of osseointegrated oral implants (A review of the literature) . Int J Prosthodont . 1998;11:408
  26. Niimi A , Fujimoto T , Nosaka Y , et al.   A Japanese multicenter study of osseointegrated implants placed in irradiated tissues (A preliminary report) . Int J Oral Maxillofac Implants . 1997;12:259
  27. Weischer T , Schettler D , Mohe C . Concept of surgical and implant supported prostheses in rehabilitation of patients with oral cancer . Int J Oral Maxillofac Implants . 1996;11:775
  28. Eckert SE , Desjardins RP , Keller EE , et al.   Endosseous implants in an irradiated tissue bed . J Prosthet Dent . 1996;76:45
  29. Jisander S , Grenthe B , Alberius P . Dental implant survival in the irradiated jaw (A preliminary report) . Int J Oral Maxillofac Implants . 1997;12:643
  30. August M , Bast B , Jackson M , et al.   Use of the fixed mandibular implant in oral cancer patients. A retrospective study . J Oral Maxillofac Surg . 1998;56:297
  31. Watzinger F , Ewers R , Henninger A , et al.   Endosteal implants in the irradiated lower jaw . J Craniomaxillofac Surg . 1996;24:237
  32. Fischer-Brandies E . Das Risiko enossaler Implantationen nach Radiatio . Quintessence . 1990;5:873
  33. Wagner W , Esser E , Ostkamp K . Osseointegration of dental implants in patients with and without radiotherapy . Acta Oncol . 1998;37:693
  34. Granström G . Pathophysiological basis for HBO in the treatment of healing disorders in radio-injured normal tissues . In: Proceedings of the 5th ECHM Consensus Conference . 2001;p. 85–93 Lisbon
  35. Kindwall E , Gottlieb L , Larsson D . Hyperbaric oxygen therapy in plastic surgery. A review article . Plast Reconstr Surg . 1991;88:898
  36. Granström G . The use of hyperbaric oxygen to prevent implant fixture loss in the irradiated patient . In:  Worthington P ,  Brånemark P-I editor. Advanced Osseointegration Surgery . Chicago: Quintessence; 1992;p. 336–345
  37. Johnsson ÅA . On implant integration in irradiated bone. An experimental study of the effects of hyperbaric oxygenation and delayed implant placement . Sweden: University of Gothenburg; 1999; Thesis
  38. Marx R , Ehler W , Tayapongsak P , et al.   Relationship of oxygen dose to angiogenesis induction in irradiated tissue . Am J Surg . 1994;160:519
  39. Støore G , Granström G . Osteoradionecrosis of the mandible. A microradiographic study of cortical bone . Scand J Plast Reconstr Hand Surg . 1999;33:307
  40. Granström G . Hyperbaric oxygen as a stimulator of osseointegration . Adv Otorhinolaryngol . 1998;54:33
  41. Johnsson ÅA , Sawaii T , Jacobsson M , et al.   A histomorphometric study of bone reactions to titanium implants in irradiated bone and the effect of hyperbaric oxygen treatment . Int J Oral Maxillofac Implants . 1999;14:699
  42. Granström G . Radiotherapy, osseointegration and hyperbaric oxygen therapy . Periodontology 2000 . 2003;33:145
  43. Johnsson K , Hansson Å , Granström G , et al.   The effects of hyperbaric oxygenation on bone to titanium implant interface strength with or without prior irradiation . Int J Oral Maxillofac Implant . 1993;8:415
  44. Coulthard P , Esposito M , Worthington HV , et al.   Therapeutic use of hyperbaric oxygen for irradiated dental implant patients (A systematic review) . J Dent Educ . 2003;67:64
  45. Feldmeier JJ , Hampson NB . A systematic review of the literature reporting the application of hyperbaric oxygen prevention and treatment of delayed radiation injuries (An evidence based approach) . Undersea Hyperb Med . 2002;29:4
  46. Granström G , Tjellström A , Brånemark P-I . Osseointegrated implants in irradiated bone (A case-controlled study using adjunctive hyperbaric oxygen therapy) . J Oral Maxillofac Surg . 1999;57:493
  47. Larsen PE . Placement of dental implants in the irradiated mandible (A protocol involving adjunctive hyperbaric oxygen) . J Oral Maxillofac Surg . 1997;55:967
  48. Keller EE . Placement of dental implants in the irradiated mandible (A protocol without adjunctive hyperbaric oxygen) . J Oral Maxillofac Surg . 1997;55:972

PII: S0278-2391(06)00091-7

doi: 10.1016/j.joms.2006.01.012

Journal of Oral and Maxillofacial Surgery
Volume 64, Issue 5 , Pages 812-818 , May 2006

Article Tools