Treatment Perspectives for Medication-related Osteonecrosis of the Jaw (MRONJ)

Overview

Journal J Craniomaxillofac Surg

Publisher Elsevier

Specialties Dentistry
General Surgery

Date 2014 Dec 27

PMID 25541255

Citations 39

Authors

Oliver Ristow

Sven Otto

Matthias Troeltzsch

Bettina Hohlweg-Majert

Christoph Pautke

Affiliations

Soon will be listed here.

Abstract

The medication-related osteonecrosis of the jaw (MRONJ) is believed to be a therapy-resistant entity. Although the application of the recommended conservative and surgical treatment regimens have returned variable success rates, the increased awareness and experience with MRONJ suggests that surgical therapy can halt the progression of the disease, thereby allowing a histology-based diagnosis of the osteonecrosis. Surgical treatment protocols can achieve success rates of over 90% and novel techniques such as the visualization of bone fluorescence can assist in the intra-operative delineation of the osteonecrosis and standardize the procedure.

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