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The investigators aim to develop a prospective database in which patient demographics, surgical, dental, prosthetic and QOL parameters collected during consecutive visits within the framework of routine practice, are being registered for each oncological patient eligible for (immediate/delayed) fixed prosthodontic rehabilitation at time of oral cavity reconstruction
The number of patients requiring major ablative surgery in the oral cavity, including partial/radical mandibular or maxillary resection, due to a head and neck carcinoma, osteoradionecrosis (ORN), or medication-related osteonecrosis of the jaw (MRONJ) has not been accurately reported. Surgical reconstruction to restore oral function and aesthetics forms a challenge to maxillofacial surgeons, and greatly impacts patient' quality of life (QOL). Recently, an active collaboration between the surgeons of the Oral and Maxillofacial Surgery Unit and the prosthodontist (LB) of the Department of Dentistry at the General Hospital Saint-John Bruges led to the development of the "Oncology-bridge (O-bridge)" protocol, which offers (immediate/delayed) fixed prosthetic rehabilitation in a minimum of sessions and a strongly reduced two-week treatment time, consequently accelerating patient' improved QOL at a considerably reduced cost.
The investigators aim to develop a prospective database in which patient demographics, surgical, dental, prosthetic and QOL parameters collected during consecutive visits within the framework of routine practice, are being registered for each oncological patient eligible for (immediate/delayed) fixed prosthodontic rehabilitation at time of oral cavity reconstruction This could provide the investigators with more information about potential patient, surgical and prosthetic factors influencing short- and long-term biological and mechanical stability, as well as patient QOL. Moreover, registration of those results could function as a measurement of quality of care, and could be used for sample size calculation for future large prospective trials.
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| Measure | Description | Time Frame |
|---|---|---|
| implant survival rate | within 12 months postoperative | |
| bone resorption, as evaluated with cone-beam computed tomography | within 12 months postoperative | |
| prosthesis survival rate | within 12 months postoperative | |
| implant survival rate | within 60 months postoperative | |
| bone resorption, as evaluated with cone-beam computed tomography | within 60 months postoperative | |
| prosthesis survival rate | within 60 months postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of oncological patients requiring jaw reconstruction secondary to tumour resection, ORN or MRONJ | within 12 months postoperative | |
| Potential biologic or mechanical risk factors predictive of undesirable functional or aesthetic outcomes, through regression analysis |
| Measure | Description | Time Frame |
|---|---|---|
| patient satisfaction, as measured through visual analogue scale | until a maximum of 60 months follow-up |
Inclusion Criteria:
Exclusion Criteria:
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All consenting patients with a histologically confirmed oncology diagnosis that requires major ablative surgery of the oral cavity, including segmental or total jaw resection, due to head and neck cancer, ORN or MRONJ
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Araceli Diez-Fraile, PhD | Contact | araceli.diez-fraile@azsintjan.be |
| Name | Affiliation | Role |
|---|---|---|
| Johan Abeloos, MD | Department of Oral and Maxillofacial Surgery, General Hospital Saint-John Bruges, Bruges, Belgium | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| General Hospital Saint-John Bruges | Recruiting | Bruges | Belgium |
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| ID | Term |
|---|---|
| D006258 | Head and Neck Neoplasms |
| D010020 | Osteonecrosis |
| D010025 | Osteoradionecrosis |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
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| within 60 months postoperative |
| Patient' quality of life after prosthetic rehabilitation | until a maximum of 60 months follow-up |
| D009336 |
| Necrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011832 | Radiation Injuries |
| D014947 | Wounds and Injuries |