A Case of Bisphosphonate-Related Osteonecrosis of the Jaw in a Patient with Subpontic Osseous Hyperplasia
Identifieur interne : 000383 ( Main/Exploration ); précédent : 000382; suivant : 000384A Case of Bisphosphonate-Related Osteonecrosis of the Jaw in a Patient with Subpontic Osseous Hyperplasia
Auteurs : Chiaki Tsuji [Japon] ; Hiroshi Watanabe [Japon] ; Hidenori Nakayama [Japon] ; Mitsuo Goto [Japon] ; Kenichi Kurita [Japon]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2017.
Abstract
Subpontic osseous hyperplasia (SOH) is a growth of bone occurring on the edentulous ridge beneath the pontics of fixed partial dentures (FPDs). This report describes a case of bisphosphonate- (BP-) related osteonecrosis of the jaw (BRONJ) in a SOH patient followed by deciduation of the bony lesion. A 73-year-old woman visited a dental clinic after experiencing pain and swelling beneath the pontics of a FPD that had been inserted 15 years ago. The pontics were removed, but the symptoms persisted and she was referred to our hospital. There was an osseous bulge and gum swelling around the edentulous ridge of teeth 18 and 19, as well as bone exposure. As she had been taking an oral BP for 6 years, we diagnosed this case as stage 2 BRONJ. Following BP withdrawal, the bony lesion detached from the mandible. The tissue was diagnosed as sequestrum based on the histopathological findings. Two months after deciduation, epithelialization over the area of exposed bone was achieved and no recurrence has been observed.
Url:
DOI: 10.1155/2017/9659761
PubMed: 28286679
PubMed Central: 5329666
Affiliations:
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Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya</wicri:regionArea><wicri:noRegion>Nagoya</wicri:noRegion></affiliation></author><author><name sortKey="Nakayama, Hidenori" sort="Nakayama, Hidenori" uniqKey="Nakayama H" first="Hidenori" last="Nakayama">Hidenori Nakayama</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya</wicri:regionArea><wicri:noRegion>Nagoya</wicri:noRegion></affiliation></author><author><name sortKey="Goto, Mitsuo" sort="Goto, Mitsuo" uniqKey="Goto M" first="Mitsuo" last="Goto">Mitsuo Goto</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya</wicri:regionArea><wicri:noRegion>Nagoya</wicri:noRegion></affiliation></author><author><name sortKey="Kurita, Kenichi" sort="Kurita, Kenichi" uniqKey="Kurita K" first="Kenichi" last="Kurita">Kenichi Kurita</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya</wicri:regionArea><wicri:noRegion>Nagoya</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in 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This report describes a case of bisphosphonate- (BP-) related osteonecrosis of the jaw (BRONJ) in a SOH patient followed by deciduation of the bony lesion. A 73-year-old woman visited a dental clinic after experiencing pain and swelling beneath the pontics of a FPD that had been inserted 15 years ago. The pontics were removed, but the symptoms persisted and she was referred to our hospital. There was an osseous bulge and gum swelling around the edentulous ridge of teeth 18 and 19, as well as bone exposure. As she had been taking an oral BP for 6 years, we diagnosed this case as stage 2 BRONJ. Following BP withdrawal, the bony lesion detached from the mandible. The tissue was diagnosed as sequestrum based on the histopathological findings. Two months after deciduation, epithelialization over the area of exposed bone was achieved and no recurrence has been observed.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Calman, H I" uniqKey="Calman H">H. I. Calman</name></author><author><name sortKey="Eisenberg, M" uniqKey="Eisenberg M">M. Eisenberg</name></author><author><name sortKey="Grodjesk, J E" uniqKey="Grodjesk J">J. E. Grodjesk</name></author><author><name sortKey="Szerlip, L" uniqKey="Szerlip L">L. Szerlip</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Frazier, K B" uniqKey="Frazier K">K. B. Frazier</name></author><author><name sortKey="Baker, P S" uniqKey="Baker P">P. S. Baker</name></author><author><name sortKey="Abdelsayed, R" uniqKey="Abdelsayed R">R. Abdelsayed</name></author><author><name sortKey="Potter, B" uniqKey="Potter B">B. 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Yamaguchi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Tsuji, Chiaki" sort="Tsuji, Chiaki" uniqKey="Tsuji C" first="Chiaki" last="Tsuji">Chiaki Tsuji</name></noRegion><name sortKey="Goto, Mitsuo" sort="Goto, Mitsuo" uniqKey="Goto M" first="Mitsuo" last="Goto">Mitsuo Goto</name><name sortKey="Kurita, Kenichi" sort="Kurita, Kenichi" uniqKey="Kurita K" first="Kenichi" last="Kurita">Kenichi Kurita</name><name sortKey="Nakayama, Hidenori" sort="Nakayama, Hidenori" uniqKey="Nakayama H" first="Hidenori" last="Nakayama">Hidenori Nakayama</name><name sortKey="Watanabe, Hiroshi" sort="Watanabe, Hiroshi" uniqKey="Watanabe H" first="Hiroshi" last="Watanabe">Hiroshi Watanabe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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