DENTAL IMPLANTS IN IRRADIATED BONE: A COMPREHENSIVE REVIEW

Abstract

Head and neck cancer patients undergoing radiation therapy often face challenges in dental rehabilitation, with concerns surrounding the success and safety of dental implant placement in irradiated bone. This review systematically explores the current literature on dental implants in irradiated bone, aiming to provide a comprehensive overview of the challenges, considerations, and advancements in this specialized field. The review encompasses topics such as changes in bone quality and quantity post-radiation, the impact on osseointegration, risks of osteoradionecrosis, treatment planning strategies, the role of hyperbaric oxygen therapy, patient selection criteria, and alternative treatment options. By synthesizing the available evidence, this manuscript aims to guide clinicians in making informed decisions, optimize patient outcomes, and contribute to ongoing advancements in the evolving landscape of dental implantology in the context of head and neck radiation therapy.

Key words: Osteointegration, osteoradionecrosis, cancer rehabilitation, hyperbaric oxygen