Review of the effect of biphosphonates on jaw osteonecrosis

Introduction: Biphosphonates are used in the treatment of bone metastatic tumors and osteoporosis. The most adverse effect of bisphosphonates is osteonecrosis of jaws, which is difficult to control. The aim of this review was to evaluate articles published on the effect of these medications on jaws...

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Main Authors: Afshin Tahmasebi, Zahra Saberi, Farimah Sardari, Farzaneh Ashrafi, Parichehr Ghalyani
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2011-01-01
Series:مجله دانشکده دندانپزشکی اصفهان
Subjects:
Online Access:http://jids.mui.ac.ir/index.php/jids/article/view/384
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author Afshin Tahmasebi
Zahra Saberi
Farimah Sardari
Farzaneh Ashrafi
Parichehr Ghalyani
author_facet Afshin Tahmasebi
Zahra Saberi
Farimah Sardari
Farzaneh Ashrafi
Parichehr Ghalyani
author_sort Afshin Tahmasebi
collection DOAJ
description Introduction: Biphosphonates are used in the treatment of bone metastatic tumors and osteoporosis. The most adverse effect of bisphosphonates is osteonecrosis of jaws, which is difficult to control. The aim of this review was to evaluate articles published on the effect of these medications on jaws and methods to control and prevent its side effects in comparison with complications of radiotherapy in the head and neck region.Review report: A Pubmed/Medline search was run using the key words biphosphonates, osteonecrosis and jaws from 1980 to 2010. Of the 160 articles in the search results 44 were case reports.Results: Osteonecrosis of the jaws, with signs and symptoms similar to osteoradionecrosis, is a complication of biphosponate use, especially when used intravenously. Oral use of these medications is not absolutely contraindicated in dentistry.Conclusion: The best way to treat jaw necrosis is its prevention. There is a low risk for the incidence of osteonecrosis during the first 6 months of treatment with biphosphonates. Use of chlorhexidine mouthwash might be useful in these patients. Key words: Bisphosphonate, Jaw, Osteonecrosis, Osteoradionecrosis.
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spelling doaj.art-1206488a709a48a18ff75d9d68b9599d2023-08-02T01:26:48ZfasIsfahan University of Medical Sciencesمجله دانشکده دندانپزشکی اصفهان1735-255X2008-69892011-01-0174434446Review of the effect of biphosphonates on jaw osteonecrosisAfshin TahmasebiZahra SaberiFarimah SardariFarzaneh AshrafiParichehr GhalyaniIntroduction: Biphosphonates are used in the treatment of bone metastatic tumors and osteoporosis. The most adverse effect of bisphosphonates is osteonecrosis of jaws, which is difficult to control. The aim of this review was to evaluate articles published on the effect of these medications on jaws and methods to control and prevent its side effects in comparison with complications of radiotherapy in the head and neck region.Review report: A Pubmed/Medline search was run using the key words biphosphonates, osteonecrosis and jaws from 1980 to 2010. Of the 160 articles in the search results 44 were case reports.Results: Osteonecrosis of the jaws, with signs and symptoms similar to osteoradionecrosis, is a complication of biphosponate use, especially when used intravenously. Oral use of these medications is not absolutely contraindicated in dentistry.Conclusion: The best way to treat jaw necrosis is its prevention. There is a low risk for the incidence of osteonecrosis during the first 6 months of treatment with biphosphonates. Use of chlorhexidine mouthwash might be useful in these patients. Key words: Bisphosphonate, Jaw, Osteonecrosis, Osteoradionecrosis.http://jids.mui.ac.ir/index.php/jids/article/view/384Key words: BisphosphonateJawOsteonecrosisOsteoradionecrosis.
spellingShingle Afshin Tahmasebi
Zahra Saberi
Farimah Sardari
Farzaneh Ashrafi
Parichehr Ghalyani
Review of the effect of biphosphonates on jaw osteonecrosis
مجله دانشکده دندانپزشکی اصفهان
Key words: Bisphosphonate
Jaw
Osteonecrosis
Osteoradionecrosis.
title Review of the effect of biphosphonates on jaw osteonecrosis
title_full Review of the effect of biphosphonates on jaw osteonecrosis
title_fullStr Review of the effect of biphosphonates on jaw osteonecrosis
title_full_unstemmed Review of the effect of biphosphonates on jaw osteonecrosis
title_short Review of the effect of biphosphonates on jaw osteonecrosis
title_sort review of the effect of biphosphonates on jaw osteonecrosis
topic Key words: Bisphosphonate
Jaw
Osteonecrosis
Osteoradionecrosis.
url http://jids.mui.ac.ir/index.php/jids/article/view/384
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