A Case of Bisphosphonate-Related Osteonecrosis of the Jaw in a Patient with Subpontic Osseous Hyperplasia
Identifieur interne : 006E67 ( Ncbi/Merge ); précédent : 006E66; suivant : 006E68A 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.
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DOI: 10.1155/2017/9659761
PubMed: 28286679
PubMed Central: 5329666
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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="Watanabe, Hiroshi" sort="Watanabe, Hiroshi" uniqKey="Watanabe H" first="Hiroshi" last="Watanabe">Hiroshi Watanabe</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="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 Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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.</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. Potter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aydin, U" uniqKey="Aydin U">U. Aydin</name></author><author><name sortKey="Yildirim, D" uniqKey="Yildirim D">D. Yildirim</name></author><author><name sortKey="Bozdemir, E" uniqKey="Bozdemir E">E. Bozdemir</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burkes, E J" uniqKey="Burkes E">E. J. Burkes</name></author><author><name sortKey="Marbry, D L" uniqKey="Marbry D">D. L. Marbry</name></author><author><name sortKey="Brooks, R E" uniqKey="Brooks R">R. E. Brooks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, C A" uniqKey="Lee C">C. A. Lee</name></author><author><name sortKey="Lee, M B" uniqKey="Lee M">M. B. Lee</name></author><author><name sortKey="Matthews, C R" uniqKey="Matthews C">C. R. Matthews</name></author><author><name sortKey="Takakis, D N" uniqKey="Takakis D">D. N. Takakis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Islam, M N" uniqKey="Islam M">M. N. Islam</name></author><author><name sortKey="Cohen, D M" uniqKey="Cohen D">D. M. Cohen</name></author><author><name sortKey="Waite, M T" uniqKey="Waite M">M. T. Waite</name></author><author><name sortKey="Bhattacharyya, I" uniqKey="Bhattacharyya I">I. Bhattacharyya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Imai, Y" uniqKey="Imai Y">Y. Imai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ruggiero, S L" uniqKey="Ruggiero S">S. L. Ruggiero</name></author><author><name sortKey="Dodson, T B" uniqKey="Dodson T">T. B. Dodson</name></author><author><name sortKey="Fantasia, J" uniqKey="Fantasia J">J. Fantasia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lorenzana, E R" uniqKey="Lorenzana E">E. R. Lorenzana</name></author><author><name sortKey="Hallmon, W W" uniqKey="Hallmon W">W. W. Hallmon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Daniels, W C" uniqKey="Daniels W">W. C. Daniels</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nagahama, E" uniqKey="Nagahama E">E. Nagahama</name></author><author><name sortKey="Hamada, Y" uniqKey="Hamada Y">Y. Hamada</name></author><author><name sortKey="Kondoh, T" uniqKey="Kondoh T">T. Kondoh</name></author><author><name sortKey="Murakami, K" uniqKey="Murakami K">K. Murakami</name></author><author><name sortKey="Nakajima, T" uniqKey="Nakajima T">T. Nakajima</name></author><author><name sortKey="Seto, K" uniqKey="Seto K">K. Seto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ikeda, T" uniqKey="Ikeda T">T. Ikeda</name></author><author><name sortKey="Yamaguchi, A" uniqKey="Yamaguchi A">A. Yamaguchi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28286679</article-id><article-id pub-id-type="pmc">5329666</article-id><article-id pub-id-type="doi">10.1155/2017/9659761</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>A Case of Bisphosphonate-Related Osteonecrosis of the Jaw in a Patient with Subpontic Osseous Hyperplasia</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-1107-2491</contrib-id><name><surname>Tsuji</surname><given-names>Chiaki</given-names></name><xref ref-type="aff" rid="I1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Watanabe</surname><given-names>Hiroshi</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Nakayama</surname><given-names>Hidenori</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Goto</surname><given-names>Mitsuo</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Kurita</surname><given-names>Kenichi</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib></contrib-group><aff id="I1">Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi Gakuin University, Nagoya, Japan</aff><author-notes><corresp id="cor1">*Chiaki Tsuji: <email>chiatsuji@hotmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Asja Celebić</p></fn></author-notes><pub-date pub-type="ppub"><year>2017</year></pub-date><pub-date pub-type="epub"><day>14</day><month>2</month><year>2017</year></pub-date><volume>2017</volume><elocation-id>9659761</elocation-id><history><date date-type="received"><day>2</day><month>9</month><year>2016</year></date><date date-type="accepted"><day>23</day><month>1</month><year>2017</year></date></history><permissions><copyright-statement>Copyright © 2017 Chiaki Tsuji et al.</copyright-statement><copyright-year>2017</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>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.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Panoramic radiographic images. (a) Image taken in October 2002 (before starting the oral bisphosphonate [BP]). (b) Image taken in February 2005 (before starting the oral BP). (c) Image taken in September 2008 (1 year and 4 months after starting the oral BP). (d) Image taken in September 2011 (5 years and 4 months after starting the oral BP). These images show chronological changes in the subpontic bone formation.</p></caption><graphic xlink:href="CRID2017-9659761.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Intraoral photographic image taken in the first examination. The bone is exposed from the alveolar crest of the lower left teeth 6 and 7, with swelling and redness in the surrounding gingiva.</p></caption><graphic xlink:href="CRID2017-9659761.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Panoramic radiographic image taken in the first examination. Radiopaque area in the alveolar crest of lower left teeth 6 and 7, showing osteosclerosis and formation of bone resembling cortical bone.</p></caption><graphic xlink:href="CRID2017-9659761.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Sagittal computed tomographic image. Arrows: (A) the root of the lower left tooth #4 and (B) the root of the lower left tooth #8. Arrowhead: bone formation.</p></caption><graphic xlink:href="CRID2017-9659761.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Intraoral photographic image after detachment of the sequestrum. Epithelialization was underway with no exposed bone.</p></caption><graphic xlink:href="CRID2017-9659761.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Intraoral photographic image taken 2 months after exfoliation. Epithelialization was observed, with no signs of inflammation in the surrounding mucosa.</p></caption><graphic xlink:href="CRID2017-9659761.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Panoramic radiographic image taken 2 months after exfoliation. No recurrence of bone formation was observed.</p></caption><graphic xlink:href="CRID2017-9659761.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Spontaneously detached sequestrum.</p></caption><graphic xlink:href="CRID2017-9659761.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>Histopathological findings (hematoxylin and eosin stain, slight magnification). Bone tissue, consisting of compact laminated structures, is void of cellular components but contains bacterial masses (arrow).</p></caption><graphic xlink:href="CRID2017-9659761.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>Analysis of bone composition. Cellular compositions were similar to those observed in normal bone tissue.</p></caption><graphic xlink:href="CRID2017-9659761.010"></graphic></fig></floats-group></pmc><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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