Implant and Hader bar in the reconstruction of a resection patient
Surgical excision of a tumour results commonly in an oral environment which is difficult to reconstruct. Implant placement can therefore provide added retention for the placement of a removable prosthesis.
Patients who have had tumours resected often have problems with retention of prosthetic appliances. Even if the patient has had postoperative radiotherapy, implants can be placed under certain conditions.
The placement of implants can allow for retention of a large maxillofacial appliance which may not only replace the missing teeth but also the resected bony support as well.
These appliances help in the rehabilitation of patients who have undergone a major traumatic experience.
• Many patients who have had such radical surgery would prefer not to have further surgical episodes for the placement of implants.
• It may not always be possible to place implants around the resected site dependent on the quantity and quality of bone in that region.
• The use of implants in a region that has had radiotherapy may not be possible if certain criteria cannot be met.
• Implants can be placed within 6 months of radiotherapy or after hyperbaric oxygen treatment.
The procedure is the same as previously outlined. However, it is also often beneficial to consider the use of a neutral zone technique when constructing the prosthesis, to determine the zone of minimal conflict for denture placement.