PROSTHODONTIC TREATMENT OF A PATIENT WITH BISPHOSPHONATE-INDUCED OSTEONECROSIS OF THE JAW USING A REMOVABLE DENTAL PROSTHESIS WITH A HEAT-POLYMERIZED RESILIENT LINER: A CLINICAL REPORT

Bisphosphonate-induced osteonecrosis of the jaws (BONJ) is reported frequently in patients receiving oral or intravenous bisphosphonates. To minimize potential complications, dental treatment must be performed with care. There are invasive and noninvasive treatment options for patients with active BONJ or a history of this complication. This clinical report describes the prosthodontic treatment of a patient who developed BONJ after receiving intravenous bisphosphonates (pamidronate). Because of the recurrent incidence of BONJ, noninvasive prosthetic therapy with telescopic overdentures and a heat-polymerized resilient liner was provided. After 2 years, there were no biological or technical complications. (J Prosthet Dent 2010;103:196-201)