Osseo News Logo

The Original Dental Implant Community

Cancer Patient Treated with Radiation Therapy: Fixed-Detachable vs. Overdentures?

Last Updated: Jan 18, 2009

Dr. W. asks:
I have a 65 year old male patient who has a history of head and neck cancer treated with radiation therapy 5 years ago. He has no saliva and as such has rampant carries. His remaining teeth are to be extracted and implants placed. My question is whether a fixed -detachable (i.e., hybrid) would be preferable to overdentures. He would prefer a fixed type appliance. But I am wondering in the long term if it would be better for him to have overdentures which could be removed and cleaned? I would like to advise my patient which treatment would be preferable.

2 Comments on Cancer Patient Treated with Radiation Therapy: Fixed-Detachable vs. Overdentures?

Alejandro Berg

01/19/2010

In cases like this we try to go with fixed or fix hibrid (not so much) in order to avoid gum imflamation that turns chronic in this kind of patients, specially if you have a removable on top of it(implant retained mucosupported is the definition of a removable). Fixed is more comfortable and has better long term prognosis.

David Anson

01/19/2010

Please get an oral surgical consultation. Head and neck radiation (depending on dosage) can lead to osteonecrosis with implant placement or tooth extraction. Use caution!

Featured Products

DALI Bone Mix

DALI Bone Mix

The highest quality tissue!

Classic

Classic 50/50 Mix

Promotes osteoconduction

Provides structural integrity

DALI Bone Syringe

DALI Bone Syringe

Prefilled Mineralized Cortico-Cancellous Bone in Syringe

New

Convenient Syringe!

50/50 Cortical/Cancellous

Available in 3 sizes.

Osteogen Plug

Osteogen Plug

Combines bone graft with a collagen plug.

Classic

Eliminate hassle of mixing particulate grafts

Sold in packs of 5 or packs of 10.

Proven safe, and clinically effective

OsseoSeal Flexible Membrane

OsseoSeal Flexible Membrane

Resorbable collagen membrane derived from purified porcine pericardium

Popular

Fast hydration and excellent tensile strength

Good adaptation to various defects

Excellent tear function and duration

DALI One Graft

DALI One Graft

One-Step grafting solution!

New

100% allograft

Eliminates mixing hassle

Moldable after hydration