ATYPICAL PRESENTATION OF MRONJ IN A PATIENT WITH IRON-DEFICIENCY ANEMIA
| Autor: | Juliana Bertoldi Franco, Maria Paula Siqueira De Melo Peres, Amanda Kimura Lucchesi Rei, Helena De Campos Zinet, Marcelo Ivander Andrade Wanderley, Leticia Rodrigues De Oliveira, Isadora Dourado Cardoso Alves |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Anemia business.industry Osteoporosis Granulation tissue Physical examination medicine.disease Pathology and Forensic Medicine Surgery medicine.anatomical_structure stomatognathic system Iron-deficiency anemia Maxilla medicine Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Oral Surgery Osteonecrosis of the jaw business Dental alveolus |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 129:e36 |
| ISSN: | 2212-4403 |
| DOI: | 10.1016/j.oooo.2019.06.105 |
| Popis: | An 82-year-old female patient with anemia (hemoglobin 9 g/dL) and a history of alendronate and zolendronic acid use for osteoporosis was referred to our clinic with a chief complaint of pain in the maxilla. During clinical examination, mucosal erythema in the anterior maxilla in a region that had been surgically accessed for the extraction of a tooth 1 year earlier was the only clinical sign compatible with the complaint. Her overall mucosa was pale, associated with her low hemoglobin count. After radiographic evaluation, the alveolar bone that was once circumscribing the extracted tooth had no signs of resorption. Due to the findings, a surgical approach was proposed. After the mucosal incision, a fair amount of granulation tissue was removed, alveoloplasty with surgical bur was performed, and primary closure was achieved. Fourteen days of antibiotic therapy was prescribed. Postoperative evaluations were conducted with no signs of persistent medication-related osteonecrosis of the jaw (MRONJ) or mucosal changes in a 3-year follow-up period. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect