Evaluation of Jaw Osteonecrosis Following Intra-Ligament Anesthesia in Zoledronate-Treated Rats: a Histological Evaluation

Statement of the Problem: One of the rare adverse effects in patients who take bisphosphonates is the osteonecrosis of the jaw in the oral cavity following any trauma such as tooth extraction.Purpose: The aim of this study is the histopathological evaluation of the jaw following intra-ligament anest...

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Main Authors: Saeed Moradi, Bibi Marjan Razavi, Siavash Moushekhian, Narges Poormahmood, Mohammad Marvi
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2023-03-01
Series:Journal of Dentistry
Subjects:
Online Access:https://dentjods.sums.ac.ir/article_48841_651df42e52cdb36454b1b92ea52ab3eb.pdf
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author Saeed Moradi
Bibi Marjan Razavi
Siavash Moushekhian
Narges Poormahmood
Mohammad Marvi
author_facet Saeed Moradi
Bibi Marjan Razavi
Siavash Moushekhian
Narges Poormahmood
Mohammad Marvi
author_sort Saeed Moradi
collection DOAJ
description Statement of the Problem: One of the rare adverse effects in patients who take bisphosphonates is the osteonecrosis of the jaw in the oral cavity following any trauma such as tooth extraction.Purpose: The aim of this study is the histopathological evaluation of the jaw following intra-ligament anesthesia injection in Zoledronate-treated rats.Materials and Method: In this descriptive-experimental study, rats weighing 200-250 g were divided into 2 groups. The first group received a 0.6 mg/kg dose of zoledronate and the second group received normal saline. Five injections with a 28-day interval were performed. At the end of the injection, the animals were sacrificed. Then, five-micrometer histological slides were prepared from the first maxillary molars and the surrounding tissues. Hematoxylin and eosin staining was performed to evaluate osteonecrosis, infiltration of inflammatory cells, fibrosis, and root and bone resorption.Results: There was no difference between the macroscopic and clinical features in both groups and no evidence of osteonecrosis of the jaw was observed in the samples. From the histological point of view, all the samples had normal tissues and none of them showed any evidence of inflammation, tissue fibrosis, disorder, or pathological root resorption.Conclusion: According to the histological findings, the periodontal ligament space, the bone adjacent to the roots, and the dental pulp conditions were similar in both groups. Osteonecrosis of the jaw did not develop in the rats that took bisphosphonates after intraligamental injection.
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spelling doaj.art-55864beed1194f64921c21b3936714902023-02-21T05:34:45ZengShiraz University of Medical SciencesJournal of Dentistry2345-64852345-64182023-03-01241414610.30476/dentjods.2022.91452.158348841Evaluation of Jaw Osteonecrosis Following Intra-Ligament Anesthesia in Zoledronate-Treated Rats: a Histological EvaluationSaeed Moradi0Bibi Marjan Razavi1Siavash Moushekhian2Narges Poormahmood3Mohammad Marvi4Dental Material Research Center, Dept. of Endodontics, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.Targeted Drug Delivery Research Center, Pharmaceutical Technology Institute, Dept. of Pharmacodynamy and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.Pharmacist, Mashhad, Iran.Dept. of Endodontics, School of Dentistry, Mashhad University of Medical Science, Mashhad, Iran.Statement of the Problem: One of the rare adverse effects in patients who take bisphosphonates is the osteonecrosis of the jaw in the oral cavity following any trauma such as tooth extraction.Purpose: The aim of this study is the histopathological evaluation of the jaw following intra-ligament anesthesia injection in Zoledronate-treated rats.Materials and Method: In this descriptive-experimental study, rats weighing 200-250 g were divided into 2 groups. The first group received a 0.6 mg/kg dose of zoledronate and the second group received normal saline. Five injections with a 28-day interval were performed. At the end of the injection, the animals were sacrificed. Then, five-micrometer histological slides were prepared from the first maxillary molars and the surrounding tissues. Hematoxylin and eosin staining was performed to evaluate osteonecrosis, infiltration of inflammatory cells, fibrosis, and root and bone resorption.Results: There was no difference between the macroscopic and clinical features in both groups and no evidence of osteonecrosis of the jaw was observed in the samples. From the histological point of view, all the samples had normal tissues and none of them showed any evidence of inflammation, tissue fibrosis, disorder, or pathological root resorption.Conclusion: According to the histological findings, the periodontal ligament space, the bone adjacent to the roots, and the dental pulp conditions were similar in both groups. Osteonecrosis of the jaw did not develop in the rats that took bisphosphonates after intraligamental injection.https://dentjods.sums.ac.ir/article_48841_651df42e52cdb36454b1b92ea52ab3eb.pdfbisphosphonateszoledronic acidbisphosphonate-associated osteonecrosis of the jaw
spellingShingle Saeed Moradi
Bibi Marjan Razavi
Siavash Moushekhian
Narges Poormahmood
Mohammad Marvi
Evaluation of Jaw Osteonecrosis Following Intra-Ligament Anesthesia in Zoledronate-Treated Rats: a Histological Evaluation
Journal of Dentistry
bisphosphonates
zoledronic acid
bisphosphonate-associated osteonecrosis of the jaw
title Evaluation of Jaw Osteonecrosis Following Intra-Ligament Anesthesia in Zoledronate-Treated Rats: a Histological Evaluation
title_full Evaluation of Jaw Osteonecrosis Following Intra-Ligament Anesthesia in Zoledronate-Treated Rats: a Histological Evaluation
title_fullStr Evaluation of Jaw Osteonecrosis Following Intra-Ligament Anesthesia in Zoledronate-Treated Rats: a Histological Evaluation
title_full_unstemmed Evaluation of Jaw Osteonecrosis Following Intra-Ligament Anesthesia in Zoledronate-Treated Rats: a Histological Evaluation
title_short Evaluation of Jaw Osteonecrosis Following Intra-Ligament Anesthesia in Zoledronate-Treated Rats: a Histological Evaluation
title_sort evaluation of jaw osteonecrosis following intra ligament anesthesia in zoledronate treated rats a histological evaluation
topic bisphosphonates
zoledronic acid
bisphosphonate-associated osteonecrosis of the jaw
url https://dentjods.sums.ac.ir/article_48841_651df42e52cdb36454b1b92ea52ab3eb.pdf
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