Therapeutic Approach in the Treatment of Medication-Related Osteonecrosis of the Jaw: Case Series of 3 Patients and State of the Art on Surgical Strategies.
Identifieur interne : 000000 ( Main/Exploration ); suivant : 000001Therapeutic Approach in the Treatment of Medication-Related Osteonecrosis of the Jaw: Case Series of 3 Patients and State of the Art on Surgical Strategies.
Auteurs : Erica Vettori ; Giulia Pipinato ; Rossana Bussani ; Fulvia Costantinides ; Vanessa Nicolin ; Lorenzo Bevilacqua ; Michele MaglioneSource :
- Journal of oral & maxillofacial research [ 2029-283X ]
Abstract
Background
Bisphosphonates and receptor activator of nuclear factor kappa-B ligand inhibitors are currently the most widely used antiresorptive therapies in bone metabolism diseases treatment. Unfortunately they can evoke medication-related osteonecrosis of the jaws. The present case series study proposes to evaluate clinical features, evolution and the surgical therapeutic approaches in three patients affected by medication-related osteonecrosis of the jaw and to review the state of art regarding the management of this complication in light of the most recent literature.
Methods
Three cases of medication-related osteonecrosis of the jaws are discussed, two related to bisphosphonates therapy (ibandronic acid) and one due to denosumab.
Results
All three patients were aged female and had probably a dental trigger agent. The lesions located in posterior mandible were treated in one case with the surgical approach alone and, in the other case, with surgical approach associated with Erb-YAG laser. The lesion related to denosumab was treated with surgical approach and platelet rich fibrin application. A complete healing was always achieved.
Conclusions
Dentists should be aware of the potential risk of developing medication-related osteonecrosis of the jaws for patients who take or had taken antiresorptive drugs. The side effects of denosumab and bisphosphonates are partly overlapping and currently there is still no consensus about the therapeutic surgical options. Prevention and early detection of the lesions should be the primary strategy.
DOI: 10.5037/jomr.2021.12206
PubMed: 34377383
PubMed Central: PMC8326883
Affiliations:
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first="Vanessa" last="Nicolin">Vanessa Nicolin</name><affiliation><nlm:affiliation>Maxillofacial and Dental Surgical Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, TriesteItaly.</nlm:affiliation><wicri:noCountry code="subField">TriesteItaly</wicri:noCountry></affiliation></author><author><name sortKey="Bevilacqua, Lorenzo" sort="Bevilacqua, Lorenzo" uniqKey="Bevilacqua L" first="Lorenzo" last="Bevilacqua">Lorenzo Bevilacqua</name><affiliation><nlm:affiliation>Maxillofacial and Dental Surgical Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, TriesteItaly.</nlm:affiliation><wicri:noCountry code="subField">TriesteItaly</wicri:noCountry></affiliation></author><author><name sortKey="Maglione, Michele" sort="Maglione, Michele" uniqKey="Maglione M" first="Michele" last="Maglione">Michele Maglione</name><affiliation><nlm:affiliation>Maxillofacial and Dental Surgical Unit, Department of Medical, Surgical and Health Sciences, 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sortKey="Vettori, Erica" sort="Vettori, Erica" uniqKey="Vettori E" first="Erica" last="Vettori">Erica Vettori</name><affiliation><nlm:affiliation>Maxillofacial and Dental Surgical Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, TriesteItaly.</nlm:affiliation><wicri:noCountry code="subField">TriesteItaly</wicri:noCountry></affiliation></author><author><name sortKey="Pipinato, Giulia" sort="Pipinato, Giulia" uniqKey="Pipinato G" first="Giulia" last="Pipinato">Giulia Pipinato</name><affiliation><nlm:affiliation>Maxillofacial and Dental Surgical Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, TriesteItaly.</nlm:affiliation><wicri:noCountry code="subField">TriesteItaly</wicri:noCountry></affiliation></author><author><name sortKey="Bussani, Rossana" sort="Bussani, Rossana" uniqKey="Bussani R" first="Rossana" last="Bussani">Rossana Bussani</name><affiliation><nlm:affiliation>Pathological Anatomy and Histopathology Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, TriesteItaly.</nlm:affiliation><wicri:noCountry code="subField">TriesteItaly</wicri:noCountry></affiliation></author><author><name sortKey="Costantinides, Fulvia" sort="Costantinides, Fulvia" uniqKey="Costantinides F" first="Fulvia" last="Costantinides">Fulvia Costantinides</name><affiliation><nlm:affiliation>Maxillofacial and Dental Surgical Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, TriesteItaly.</nlm:affiliation><wicri:noCountry code="subField">TriesteItaly</wicri:noCountry></affiliation></author><author><name sortKey="Nicolin, Vanessa" sort="Nicolin, Vanessa" uniqKey="Nicolin V" first="Vanessa" last="Nicolin">Vanessa Nicolin</name><affiliation><nlm:affiliation>Maxillofacial and Dental Surgical Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, TriesteItaly.</nlm:affiliation><wicri:noCountry code="subField">TriesteItaly</wicri:noCountry></affiliation></author><author><name sortKey="Bevilacqua, Lorenzo" sort="Bevilacqua, Lorenzo" uniqKey="Bevilacqua L" first="Lorenzo" last="Bevilacqua">Lorenzo Bevilacqua</name><affiliation><nlm:affiliation>Maxillofacial and Dental Surgical Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, TriesteItaly.</nlm:affiliation><wicri:noCountry code="subField">TriesteItaly</wicri:noCountry></affiliation></author><author><name sortKey="Maglione, Michele" sort="Maglione, Michele" uniqKey="Maglione M" first="Michele" last="Maglione">Michele Maglione</name><affiliation><nlm:affiliation>Maxillofacial and Dental Surgical Unit, Department of Medical, Surgical and Health Sciences, University of Trieste, TriesteItaly.</nlm:affiliation><wicri:noCountry code="subField">TriesteItaly</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of oral & maxillofacial research</title><idno type="ISSN">2029-283X</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>Bisphosphonates and receptor activator of nuclear factor kappa-B ligand inhibitors are currently the most widely used antiresorptive therapies in bone metabolism diseases treatment. Unfortunately they can evoke medication-related osteonecrosis of the jaws. The present case series study proposes to evaluate clinical features, evolution and the surgical therapeutic approaches in three patients affected by medication-related osteonecrosis of the jaw and to review the state of art regarding the management of this complication in light of the most recent literature.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>Three cases of medication-related osteonecrosis of the jaws are discussed, two related to bisphosphonates therapy (ibandronic acid) and one due to denosumab.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>All three patients were aged female and had probably a dental trigger agent. The lesions located in posterior mandible were treated in one case with the surgical approach alone and, in the other case, with surgical approach associated with Erb-YAG laser. The lesion related to denosumab was treated with surgical approach and platelet rich fibrin application. A complete healing was always achieved.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>Dentists should be aware of the potential risk of developing medication-related osteonecrosis of the jaws for patients who take or had taken antiresorptive drugs. The side effects of denosumab and bisphosphonates are partly overlapping and currently there is still no consensus about the therapeutic surgical options. Prevention and early detection of the lesions should be the primary strategy.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">34377383</PMID><DateRevised><Year>2021</Year><Month>08</Month><Day>12</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2029-283X</ISSN><JournalIssue CitedMedium="Print"><Volume>12</Volume><Issue>2</Issue><PubDate><MedlineDate>2021 Apr-Jun</MedlineDate></PubDate></JournalIssue><Title>Journal of oral & maxillofacial research</Title><ISOAbbreviation>J Oral Maxillofac Res</ISOAbbreviation></Journal><ArticleTitle>Therapeutic Approach in the Treatment of Medication-Related Osteonecrosis of the Jaw: Case Series of 3 Patients and State of the Art on Surgical Strategies.</ArticleTitle><Pagination><MedlinePgn>e6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5037/jomr.2021.12206</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Bisphosphonates and receptor activator of nuclear factor kappa-B ligand inhibitors are currently the most widely used antiresorptive therapies in bone metabolism diseases treatment. Unfortunately they can evoke medication-related osteonecrosis of the jaws. The present case series study proposes to evaluate clinical features, evolution and the surgical therapeutic approaches in three patients affected by medication-related osteonecrosis of the jaw and to review the state of art regarding the management of this complication in light of the most recent literature.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">Three cases of medication-related osteonecrosis of the jaws are discussed, two related to bisphosphonates therapy (ibandronic acid) and one due to denosumab.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">All three patients were aged female and had probably a dental trigger agent. The lesions located in posterior mandible were treated in one case with the surgical approach alone and, in the other case, with surgical approach associated with Erb-YAG laser. The lesion related to denosumab was treated with surgical approach and platelet rich fibrin application. A complete healing was always achieved.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">Dentists should be aware of the potential risk of developing medication-related osteonecrosis of the jaws for patients who take or had taken antiresorptive drugs. The side effects of denosumab and bisphosphonates are partly overlapping and currently there is still no consensus about the therapeutic surgical options. Prevention and early detection of the lesions should be the primary strategy.</AbstractText><CopyrightInformation>Copyright © Vettori E, Pipinato G, Bussani R, Costantinides F, Nicolin V, Bevilacqua L, Maglione M. 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Rossana" sort="Bussani, Rossana" uniqKey="Bussani R" first="Rossana" last="Bussani">Rossana Bussani</name><name sortKey="Costantinides, Fulvia" sort="Costantinides, Fulvia" uniqKey="Costantinides F" first="Fulvia" last="Costantinides">Fulvia Costantinides</name><name sortKey="Maglione, Michele" sort="Maglione, Michele" uniqKey="Maglione M" first="Michele" last="Maglione">Michele Maglione</name><name sortKey="Nicolin, Vanessa" sort="Nicolin, Vanessa" uniqKey="Nicolin V" first="Vanessa" last="Nicolin">Vanessa Nicolin</name><name sortKey="Pipinato, Giulia" sort="Pipinato, Giulia" uniqKey="Pipinato G" first="Giulia" last="Pipinato">Giulia Pipinato</name><name sortKey="Vettori, Erica" sort="Vettori, Erica" uniqKey="Vettori E" first="Erica" last="Vettori">Erica Vettori</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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