Prosthodontic management of abnormal tooth development secondary to chemoradiotherapy: a clinical report.

Abstract

Late effects of chemoradiotherapy for childhood cancer treatment include developmental disturbances of the maxillofacial and dentoalveolar structures. Prosthodontic rehabilitation of these patients presents a significant challenge in restoring function, esthetics, and comfort. This clinical report describes the prosthodontic management of a young patient who received chemoradiotherapy for neuroblastoma and subsequently developed tooth abnormalities. Osseointegrated implants and an implant-connecting bar along with an attachment system were used to provide retention, support, and stability of a removable mandibular overdenture opposing a conventional maxillary complete denture.

• Authors: Samuel R Zwetchkenbaum, Won-suck Oh
• Journal: The Journal of prosthetic dentistry (J Prosthet Dent) Vol. 98 Issue 6 Pg. 429-35 (Dec 2007) ISSN: 0022-3913 [Print] United States
• PMID: 18061736 (Publication Type: Case Reports, Journal Article)

Chemical References

• Dental Implants

Topics

• Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
• Child
• Dental Implants
• Dental Prosthesis, Implant-Supported
• Denture Retention
• Denture, Complete, Immediate
• Denture, Complete, Lower
• Denture, Complete, Upper
• Denture, Overlay
• Humans
• Male
• Mandible (surgery)
• Mouth Rehabilitation
• Neoadjuvant Therapy
• Neuroblastoma (drug therapy, radiotherapy)
• Odontogenesis (drug effects, radiation effects)
• Tooth Abnormalities (chemically induced, etiology)
• Whole-Body Irradiation