OseointegraciĆ³n en pacientes irradiados
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Archivos
Fecha
2010
Autores
Profesor/a GuĆa
Facultad/escuela
Idioma
es
TĆtulo de la revista
ISSN de la revista
TĆtulo del volumen
Editor
Universidad AndrƩs Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Los implantes intraĆ³seos han mejorado la rehabilitaciĆ³n Ć³sea y funcional del paciente irradiado.
Sin embargo, el riesgo de oseorradionecrosis ha hecho que muchos profesionales excluyan
empĆricamente esta terapia como opciĆ³n de tratamiento, especialmente si el campo quirĆŗrgico ha
recibido dosis de radiaciĆ³n mayores a 50 Gy. Esta revisiĆ³n presenta un protocolo para pacientes
que requieren prĆ³tesis implanto-soportada despuds de un radiaciĆ³n mayor a 50 Gy que incluye el
uso de oxigeno hipefbƔrico y que se resume en: 1) retrasar el tiempo de la cirugla hasta seis
meses despuĆ©s de la irradiaciĆ³n; 2) consentimiento informado; 3) eliminaciĆ³n del hĆ”bito del
cĆganillo; 4) oxĆgeno hiperbĆ”rico pre y post operatono; 5) aumento de la fase de curaciĆ³n sin
perturbaciĆ³n en tres meses; 6) prĆ³tesis totalmente implanto soportada y 7) estricto rĆ©gimen de
higiene oral.
lntraosseous implants have improved bone and functional rehabilitation of irradiated patients. However, the risk of oseoradionecrosis has led many professionals empirically exclude this therapy as a treatment option, especially if the surgical field has received radiation doses above 50 Gy. This review presents a protocol for patients requiring implant-supported prostheses after a greater than .A . 50 Gy radiation that includes the use of hyperbaric oxygen and are summarized as follows: 1) delay 9 the time of surgery until six months after irradiation; 2) informed consent, 3) elimination of cigarette smoking, 4) hyperbaric oxygen pre and postoperative, 5) increase in the healing phase without disruption Ćn three months; 6) totally implant-supported prostheses and i) strict regĆmen of oral hygiene .
lntraosseous implants have improved bone and functional rehabilitation of irradiated patients. However, the risk of oseoradionecrosis has led many professionals empirically exclude this therapy as a treatment option, especially if the surgical field has received radiation doses above 50 Gy. This review presents a protocol for patients requiring implant-supported prostheses after a greater than .A . 50 Gy radiation that includes the use of hyperbaric oxygen and are summarized as follows: 1) delay 9 the time of surgery until six months after irradiation; 2) informed consent, 3) elimination of cigarette smoking, 4) hyperbaric oxygen pre and postoperative, 5) increase in the healing phase without disruption Ćn three months; 6) totally implant-supported prostheses and i) strict regĆmen of oral hygiene .
Notas
Tesis (MagĆster en OdontologĆa con especializaciĆ³n en ImplantologĆa Oseointegrada)
Palabras clave
Implantes Dentales, Radioterapia