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OsteointegraĆ§Ć£o em doentes com cancro oral
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Abstract(s)
Globalmente, a expressĆ£o de cancro oral tem acometido cada vez mais pacientes.
Classificado internacionalmente como um conjunto de neoplasias malignas com desenvolvimento na cavidade oral, o mais prevalecente Ć© o carcinoma espinocelular ou carcinoma das cĆ©lulas escamosas. Com a descoberta, aperfeiƧoamento e efetivaĆ§Ć£o do processo osteointegrativo, os implantes orais tornaram-se um ganho precioso no campo da evoluĆ§Ć£o e manutenĆ§Ć£o da reabilitaĆ§Ć£o oncolĆ³gica oral.
Esta revisĆ£o bibliogrĆ”fica pretende debater os aspetos determinantes Ć sobrevivĆŖncia e eficĆ”cia implantolĆ³gica, assim como, do seu insucesso. Desta forma, ao longo desta redaĆ§Ć£o serĆ£o descritas, de um modo mais detalhado, as implicaƧƵes da radioterapia e quimioterapia, das cirurgias, local anatĆ³mico, tempo adequado Ć colocaĆ§Ć£o, biocompatibilidade dos materiais, reabilitaĆ§Ć£o protĆ©tica ou dos fatores relacionados com a vulnerabilidade individual de cada paciente e que possam influenciar o processo osteointegrativo. Na generalidade dos casos, o sucesso da osteointegraĆ§Ć£o de implantes endĆ³sseos em pacientes oncolĆ³gicos orais, demonstram que continua a ser a melhor opĆ§Ć£o da reabilitadora, uma vez que a causalidade dos insucessos nĆ£o significa a nĆ£o reabilitaĆ§Ć£o destes pacientes.
Globally, the expression of oral cancer has affected more and more patients. Internationally, it figures as a set of malignant neoplasms with development in the oral cavity, the most prevalent is the squamous cell carcinoma. With the learning, improvement and effectiveness of the osseointegrative process, oral implants have become a precious gain in the field of evolution and maintenance of oral cancer rehabilitation. This bibliographical review intends to debate the determinant aspects of implantology priority effectiveness, as well as its failure. Thus, throughout this writing, it will be concluded, in more detail, as result of radiotherapy and chemotherapy, surgeries, anatomical location and adequate time for placement, biocompatibility of materials, prosthetic rehabilitation or factors related to the individual vulnerability of each patient and that induce the osseointegrative process. In most cases, the successful osseointegration of endosseous implants in oral cancer patients demonstrates that it remains the best option, since the causality of failures does not mean that these patients will not be rehabilitated.
Globally, the expression of oral cancer has affected more and more patients. Internationally, it figures as a set of malignant neoplasms with development in the oral cavity, the most prevalent is the squamous cell carcinoma. With the learning, improvement and effectiveness of the osseointegrative process, oral implants have become a precious gain in the field of evolution and maintenance of oral cancer rehabilitation. This bibliographical review intends to debate the determinant aspects of implantology priority effectiveness, as well as its failure. Thus, throughout this writing, it will be concluded, in more detail, as result of radiotherapy and chemotherapy, surgeries, anatomical location and adequate time for placement, biocompatibility of materials, prosthetic rehabilitation or factors related to the individual vulnerability of each patient and that induce the osseointegrative process. In most cases, the successful osseointegration of endosseous implants in oral cancer patients demonstrates that it remains the best option, since the causality of failures does not mean that these patients will not be rehabilitated.
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Keywords
Implantes dentĆ”rios Radioterapia Quimioterapia Cancro oral Insucesso osteointegrativo Carcinoma das cĆ©lulas escamosas ReabilitaĆ§Ć£o do cancro oral Dental implants Radiotherapy Chemotherapy Oral cancer Osseointegration failure Osseointegration Squamous cell carcinoma Oral cancer rehabilitation