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Volume 14 , Issue 3
May/June 1999

Pages 442–446

Histologic Evaluation of Clinically Successful Osseointegrated Implants Retrieved from Irradiated Bone: A Report of 2 Patients

Hidetaka Nakai, DDS, Atsushi Niimi, DDS, DMSc, Minoru Ueda, DDS, PhD

PMID: 10379120

The present study described the histologic findings of 2 implants and surrounding tissues retrieved from human irradiated bone. For the treatment of a malignant tumor, 50 Gy of irradiation after implant placement and 60 Gy of irradiation before implant placement were provided for patients 1 and 2, respectively. In patient 1, the implant and surrounding tissues were removed from the frontal bone 24 months after implant placement because of the patient’s death from a tumor recurrence. In patient 2, the implant and surrounding tissues were removed from a maxillectomy site 26 months after implant placement because of tumor recurrence. In each patient, new bone formation surrounding the implants was observed. The ratio of direct bone-implant contact along the threaded implant surface was 61.3% in patient 1 and 69.0% in patient 2. The ratio of the area occupied by mineralized bone in each thread was 75.8% in patient 1 and 81.2% in patient 2. These results indicate the potential of irradiated bone to achieve osseointegration of titanium implants. (Int J Oral Maxillofac Implants 1999;14:442–446) Key words: histologic study, irradiation, osseointegrated implant

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