Osseointegrated implants associated with PRP in the rehabilitation of irradiated patient with SCC of the tongue. Case report

AUTORES

Luciano Lauria Dib
Paulista University – Unip; Dental School, São Paulo.

Emne Hammoud Gumieiro
Federal University of São Paulo, Department of Otorhinolaryngology and Head and Neck Surgery, São Paulo.

Ricardo Schmitutz Jahn
Federal University of São Paulo, Department of Otorhinolaryngology and Head and Neck Surgery, São Paulo.

Luiz Paulo Kowalski
A.C. Camargo Hospital, Head and Neck Department, São Paulo.

Ulf Nannmark
Oral & Maxillofacial Surgery, University of Gothenburg, Gothenburg, Sweden.

ABSTRACT

Background: Young patients with squamous cell carcinoma (SCC) of the oral cavity are an unusual occurrence. Also, malignant tumour treatment can result in severe mutilation with unfavourable impact on cosmetic and function. Case report: This is a case of a 23-year-old man who presented a SCC of the tongue. After oncological treatment with resection and irradiation, he was rehabilitated using osseointegrated implants associated with platelet rich plasma in order to improve patient rehabilitation. Discussion: After a six-month healing period all implants were stable and clinically osseointegrated and masticatory, phonetic and aesthetic functions were restored. Results show that under controlled procedures, osseointegration is achievable even in low bone quality in irradiated sites, improving the patient’s quality of life.

Key Words – Squamous cell carcinoma; Platelet-rich plasma; Dental implants.