Endosseous Implants in Irradiated Tissues

Abstract

This paper discusses the use of endosseous implants in irradiated bone. The success rate of endosseous implants in irradiated bone is reviewed and controversy over optimal time prior to implant placement is described. The advantages and disadvantages of pre- and postimplant radiotherapy are addressed. Implant therapy and osteoradionecrosis (ORN) and evidence of potential role of hyperbaric oxygen (HBO) are also reviewed. Strategies for improving the clinical outcome of endosseous implants are suggested.