Conservative Surgical Management of Stage I Bisphosphonate-Related Osteonecrosis of the Jaw

Autor: Paolo Vescovi, Elisabetta Merigo, Marco Meleti, Maddalena Manfredi, Carlo Fornaini, Samir Nammour, Giovanni Mergoni, Amin Sarraj, Jose V. Bagan
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: International Journal of Dentistry, Vol 2014 (2014)
Druh dokumentu: article
ISSN: 1687-8728
1687-8736
79398804
DOI: 10.1155/2014/107690
Popis: Purpose. To report the efficacy of conservative surgical treatment for stage I bisphosphonate-related osteonecrosis of the jaw (BRONJ). Materials and Methods. This study reports the clinical outcomes of 63 patients treated for BRONJ stage I (according to Ruggiero's staging system) at the Oral Pathology and Laser-Assisted Surgery Unit of the University of Parma between January 2004 and January 2011. Surgical interventions were performed, under local analgesia, in patients unresponsive for a period of six months to noninvasive treatments such as cycles of local or systemic antibacterial therapy combined or not to low level laser therapy, ozone therapy, or Hyperbaric Oxygen Therapy. All interventions were performed after the consultation of oncologist or physician. Results. In our experience, conservative surgical treatment is associated with the highest number of BRONJ healed sites in stage I disease. Complete healing was observed in 92.6% of sites surgically treated. Conclusions. This study confirms that treatment of patients affected by minimal bone exposition, (stage I of BRONJ), through conservative surgical strategies, possibly with laser, may result in a high control of the disease in the long term.
Databáze: Directory of Open Access Journals
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