Bisphosphonate-related osteonecrosis of the jaws: Report of a case using conservative protocol

Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
Fabiano Luiz HeggendornEliane Pedra Dias

Abstract

Bisphosphonates have been the first-line treatment option for osteometabolic diseases, such as osteoporosis, hypercalcaemia in malignant bone diseases, and in bone metastasis. It is possible to observe a growing number of cases of osteonecrosis of the jaws in patients using this medication, called bisphosphonate-related osteonecrosis of the jaws. The purpose of this study was to report a conservative treatment for bisphosphonate-related osteonecrosis of the jaws--Stage 2, using antibacterial solution and low-level laser therapy. At the end of the treatment, the patient presented improvement of the lesion with the healing of the mucosa. The literature still lacks successful definite protocols, thus the present case may contribute with another option for conservative management for bisphosphonate-related osteonecrosis of the jaws. More research is necessary in order to develop a good protocol management for bisphosphonate-related osteonecrosis of the jaws.

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Citations

Dec 25, 2019·Photobiomodulation, Photomedicine, and Laser Surgery·Katayoun A M KalhoriReza Fekrazad
Jul 30, 2020·São Paulo Medical Journal = Revista Paulista De Medicina·Aloizio Premoli MacielPaulo Sérgio da Silva Santos
May 4, 2021·Journal of Cellular and Molecular Medicine·Xiucheng LiYu Qian
Jun 5, 2021·Journal of Lasers in Medical Sciences·Marcelo Vieira da Costa AlmeidaKaline Romeiro
Aug 28, 2021·International Journal of Environmental Research and Public Health·Olga Di FedeAntonio Galvano

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