IMPLANTES DENTÁRIOS EM PACIENTES SUBMETIDOS À RADIOTERAPIA EM REGIÃO DE CABEÇA E PESCOÇO: REVISÃO DE LITERATURA

Abstract

The patients’ rehabilitation who underwent radiotherapeutic treatment in the head and neck is still a challenge to dental implantation. The purpose of the current article is to discuss the installation of dental implants in patients who underwent radiotherapeutic treatment in the head and neck. The study of some literature was held considering revisions and original articles publications from 2002 to 2020. The research included the keywords: implants, osteoradionecrosis, neoplasms in oral cavity, hyperbaric oxygen therapy, laser therapy, ozone therapy e dental implants in irradiated bones. Databases: PubMed, SciELO e Bireme. The criteria for the article’s inclusion in the study were: an approach about the oral malignant neoplasm, the sequela treatment which may be formed and the implant installation in bones which underwent irradiation. The analysis was developed considering specific information from each article related to the language, publication year, research type and data results, in which the most of the cases have been positive to implants installation taking into consideration some factors. Taking into account the changes in the treatment concepts at first, then the advance of odontology in using the three-dimensional plans and surgical guides and, the evolution of the improvement in the titanium surface and the accomplishment of the minimum time of 12 months in the end of irradiation, it is possible to obtain a predictability in prosthetic treatment of patients undergoing radiotherapy in the head and neck region.