Flichy-Fernández AJ(1), Balaguer-Martínez J, Peñarrocha-Diago M, Bagán JV. Treatment with teriparatide for advanced bisphosphonate-related osteonecrosis of the jaw around dental implants: a case report. The aim of this study was to conduct a systematic review in order to evaluate whether patients on BP therapy are appropriate candidates for dental implants as compared to patients not taking BP drugs with respect to successful implant … %PDF-1.4 %����
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Osteonecrosis of the jaw has been described in patients taking bisphosphonates after oral surgery procedures, including the placement of dental implants. 2011;8(8):667-72. doi: 10.7150/ijms.8.667. In the 1980’s, bisphosphonates administered by the intravenous (IV) route were initially used for the treatment of malignancies affecting the bone tissue, such as multiple myeloma and bone metastases of breast and prostate cancer.Numerous papers in the dental literature have examined the risks of invasive dental procedures in patients being treated with oral bisphosphonates and have concluded that dental procedures are not contraindicated for such patients,The current manuscript describes a patient who was receiving treatment with IV bisphosphonates for osteoporosis and who was a candidate for dental implant placement and reviews the underlying evidence to support decision-making and treatment planning in similar cases.A 58-year-old man sought treatment at the authors’ clinic because of de-cementation of a post-and-core reconstruction in tooth 21 (Radiographic examination confirmed the fracture with subgingival margins and the secondary caries and also revealed a periapical radiolucency (The decision was made to extract tooth 21.
The American Dental Association has decided against recommending that dental patients discontinue bisphosphonate therapy before having an extraction or dental implant. The authors discuss the current evidence regarding the risks of dental procedures in patients receiving IV bisphosphonates for this indication. 0000017169 00000 n 0000007513 00000 n Author information: (1)Oral Surgery and Implantology, Medical and Dental School, University of Valencia, Spain.
Intravenous (IV) administration of bisphosphonates has been considered an absolute contraindication for placement of dental implants, because of the increased risk of bisphosphonate-related osteonecrosis of the jaw (BRONJ). For the general dentist, treatment recommendations for those who have taken bisphosphonates differ regarding whether the medication was orally or intravenously given.
Bisphosphonates can be divided into two groups; nitrogen-containing group (Pamidronate, … However, the potential for future occurrence of BRONJ in this patient cannot be excluded, especially if he undergoes further bisphosphonate treatment.In the case reported here, tooth 21 was deemed unrestorable because of a combination of factors, specifically, presence of a vertical fracture with deep subgingival margins, periapical radiolucency and secondary caries. The aim of this narrative review of the literature was to elaborate on the pathological mechanisms behind the condition and also to gather an update on incidence, risk factors, and treatment of bisphosphonate ass… 0000001376 00000 n
Intravenous (IV) administration of bisphosphonates has been considered an absolute contraindication for placement of dental implants, because of the increased risk of bisphosphonate-related osteonecrosis of the jaw (BRONJ). Tout auteur qui soumet une opinion ou un fait allégué à la présente publication en assume la responsabilité. 0000175754 00000 n 0000175488 00000 n Dental implants are believed to … In this regard, it is interesting to note that the single dental procedure that has been linked to BRONJ is extraction of a tooth.To the authors’ knowledge, this is the only published report of implant placement in a patient treated with IV zoledronate for osteoporosis.
0000008013 00000 n Oral Bisphosphonates and Dentistry Recommendations.
... All patients receiving intravenous bisphosphonates should have a dental check-up before bisphosphonate treatment.
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