Management of Medication-Related Osteonecrosis of the Jaw

被引:21
|
作者
Williams, William Bradford [1 ]
O'Ryan, Felice [1 ]
机构
[1] Kaiser Permanente, Oakland Med Ctr, Div Maxillofacial Surg, Oakland, CA 94611 USA
关键词
MRONJ; Bisphosphonate; Denosumab; Oral surgery; Maxillofacial surgery; BRONJ; BISPHOSPHONATE-RELATED OSTEONECROSIS; GUIDED BONE RESECTION; SURGICAL RESECTION; HYPERBARIC-OXYGEN; ORAL MICROBIOTA; PENTOXIFYLLINE; FLUORESCENCE; TOCOPHEROL; PROTOCOL; THERAPY;
D O I
10.1016/j.coms.2015.06.007
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Medication-related osteonecrosis of the jaw (MRONJ) primarily involves patients receiving intravenous bisphosphonates for treatment of skeletal-related malignancies, oral bisphosphonates, and denosumab. There is no consensus regarding the clinical management of MRONJ. Successful treatment may be that which results in a cure, with complete mucosal coverage and elimination of disease, or that which improves the quality of life without a cure (palliation). Helping patients to understand the chronicity and potential progression of the disease is essential to a satisfactory outcome. This review aims to share our treatment approach to patients with MRONJ. Treatment can be divided into medical and surgical therapies.
引用
收藏
页码:517 / +
页数:10
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