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Bisphosphonates and osteonecrosis of the mandible/maxilla in osteoporosis: no reason to panic.

Identifieur interne : 000394 ( Main/Exploration ); précédent : 000393; suivant : 000395

Bisphosphonates and osteonecrosis of the mandible/maxilla in osteoporosis: no reason to panic.

Auteurs : Francesco Bertoldo [Italie]

Source :

RBID : pubmed:18283234

Descripteurs français

English descriptors

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:


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