Bisphosphonates and osteonecrosis of the mandible/maxilla in osteoporosis: no reason to panic.
Identifieur interne : 000394 ( Main/Exploration ); précédent : 000393; suivant : 000395Bisphosphonates and osteonecrosis of the mandible/maxilla in osteoporosis: no reason to panic.
Auteurs : Francesco Bertoldo [Italie]Source :
- Aging clinical and experimental research [ 1594-0667 ] ; 2008.
Descripteurs français
- KwdFr :
- Diphosphates (effets indésirables), Diphosphates (usage thérapeutique), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Maladies de la mâchoire (induit chimiquement), Maladies de la mâchoire (prévention et contrôle), Mâle (MeSH), Os et tissu osseux (métabolisme), Ostéonécrose (induit chimiquement), Ostéonécrose (prévention et contrôle), Ostéoporose (traitement médicamenteux), Relation dose-effet des médicaments (MeSH), Tumeurs osseuses (traitement médicamenteux).
- MESH :
- effets indésirables : Diphosphates.
- induit chimiquement : Maladies de la mâchoire, Ostéonécrose.
- métabolisme : Os et tissu osseux.
- prévention et contrôle : Maladies de la mâchoire, Ostéonécrose.
- traitement médicamenteux : Ostéoporose, Tumeurs osseuses.
- usage thérapeutique : Diphosphates.
- Facteurs de risque, Femelle, Humains, Mâle, Relation dose-effet des médicaments.
English descriptors
- KwdEn :
- Bone Neoplasms (drug therapy), Bone and Bones (metabolism), Diphosphates (adverse effects), Diphosphates (therapeutic use), Dose-Response Relationship, Drug (MeSH), Female (MeSH), Humans (MeSH), Jaw Diseases (chemically induced), Jaw Diseases (prevention & control), Male (MeSH), Osteonecrosis (chemically induced), Osteonecrosis (prevention & control), Osteoporosis (drug therapy), Risk Factors (MeSH).
- MESH :
- chemical , adverse effects : Diphosphates.
- chemically induced : Jaw Diseases, Osteonecrosis.
- drug therapy : Bone Neoplasms, Osteoporosis.
- metabolism : Bone and Bones.
- prevention & control : Jaw Diseases, Osteonecrosis.
- chemical , therapeutic use : Diphosphates.
- Dose-Response Relationship, Drug, Female, Humans, Male, Risk Factors.
Abstract
Bisphosphonate (BP) therapy has modified the natural history of many bone metabolic diseases. Amino-bisphosphonates nowadays represent the primary therapeutic choice for the treatment of osteoporosis and for prevention of fractures. Osteonecrosis of the mandible and maxilla (ONJ) is a rare disease usually occurring in cancer patients with bone metastases treated with high doses of intravenous BPs. Some cases have been described in patients taking amino-BPs for osteoporosis, but the specific drug utilized, its dosage and use of the oral route have reduced that risk considerably (estimated at 1/100,000 subjects a year). Prevention of ONJ include good oral hygiene habits in all patients and, in a subject who has been treated for more than three years, conservative dental procedures when possible, an appropriate antibiotic therapy and a careful follow-up when invasive oral interventions are necessary, are recommended by dentists and bone metabolism experts alike.
DOI: 10.1007/BF03324753
PubMed: 18283234
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Diphosphates (therapeutic use)</term>
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<term>Diphosphates (usage thérapeutique)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladies de la mâchoire (induit chimiquement)</term>
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<term>Risk Factors</term>
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<term>Femelle</term>
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<front><div type="abstract" xml:lang="en">Bisphosphonate (BP) therapy has modified the natural history of many bone metabolic diseases. Amino-bisphosphonates nowadays represent the primary therapeutic choice for the treatment of osteoporosis and for prevention of fractures. Osteonecrosis of the mandible and maxilla (ONJ) is a rare disease usually occurring in cancer patients with bone metastases treated with high doses of intravenous BPs. Some cases have been described in patients taking amino-BPs for osteoporosis, but the specific drug utilized, its dosage and use of the oral route have reduced that risk considerably (estimated at 1/100,000 subjects a year). Prevention of ONJ include good oral hygiene habits in all patients and, in a subject who has been treated for more than three years, conservative dental procedures when possible, an appropriate antibiotic therapy and a careful follow-up when invasive oral interventions are necessary, are recommended by dentists and bone metabolism experts alike.</div>
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<Abstract><AbstractText>Bisphosphonate (BP) therapy has modified the natural history of many bone metabolic diseases. Amino-bisphosphonates nowadays represent the primary therapeutic choice for the treatment of osteoporosis and for prevention of fractures. Osteonecrosis of the mandible and maxilla (ONJ) is a rare disease usually occurring in cancer patients with bone metastases treated with high doses of intravenous BPs. Some cases have been described in patients taking amino-BPs for osteoporosis, but the specific drug utilized, its dosage and use of the oral route have reduced that risk considerably (estimated at 1/100,000 subjects a year). Prevention of ONJ include good oral hygiene habits in all patients and, in a subject who has been treated for more than three years, conservative dental procedures when possible, an appropriate antibiotic therapy and a careful follow-up when invasive oral interventions are necessary, are recommended by dentists and bone metabolism experts alike.</AbstractText>
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