Protocol for prevention of bisphosphonate related osteonecrosis of the jaws (BRONJ)

Bisphosphonate related osteonecrosis of the Jaws can be recognized by exposure of necrotic bone in the mouth, usually but not exclusively, secondary to a dental surgical procedure, especially dental extractions. Some reports mention that up to 50% of patients who develop BRONJ have a history of tooth extraction as a precipitating factor. Another triggering factor described is the presence of lingual or palatal torus. This condition, however, can also occur spontaneously.

A successful treatment of BRONJ has not been developed yet, which makes this condition a very difficult clinical challenge; however some authors have shown that prevention is the most adequate way to decrease the number of cases.

A protocol for prevention of this complication has been developed at the Oral and Maxillofacial Surgery Unit, Air Force Hospital Santiago, Chile and allows dental and medical general practitioners a simple and accurate method to guide patients in need of therapy with bisphosphonates. This protocol includes patients who require either oral or i/v therapy, considering concomitant medical conditions and advices a dental therapy prior to the onset of this drug.

Conflict of interest: None declared.

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Feb 5, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Protocol for prevention of bisphosphonate related osteonecrosis of the jaws (BRONJ)
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