Bisphosphonate-related osteonecrosis of the jaws: Report of two cases with breast cancer, a dental concern and review of the literature

Bisphosphonates are becoming increasingly important in the treatment of metabolic and oncological diseases involving the skeleton. In recent years, several cases of necrosis of the jaws associated with long-term use of bisphoshponates have been reported. The management of bisphosphonate-related oste...

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Main Authors: Ahmet Ercan Şekerci, Halil Sahman, Murat Ulu, Osman A Etoz, Yıldıray Sisman
Format: Article
Language:English
Published: Pensoft Publishers 2012-07-01
Series:BioDiscovery
Subjects:
Online Access:https://biodiscovery.pensoft.net/article/8917/download/pdf/
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author Ahmet Ercan Şekerci
Halil Sahman
Murat Ulu
Osman A Etoz
Yıldıray Sisman
author_facet Ahmet Ercan Şekerci
Halil Sahman
Murat Ulu
Osman A Etoz
Yıldıray Sisman
author_sort Ahmet Ercan Şekerci
collection DOAJ
description Bisphosphonates are becoming increasingly important in the treatment of metabolic and oncological diseases involving the skeleton. In recent years, several cases of necrosis of the jaws associated with long-term use of bisphoshponates have been reported. The management of bisphosphonate-related osteonecrosis of the jaws (BRONJ) is emerging as a significant problem in the field of dentistry. In this article, we report two new cases of patients with osteonecrosis induced by bisphosphonates. Two unrelated female patients undergoing treatment with bisphosphonates for metastatic breast cancer were referred to the department of oral surgery due to non-healing extraction sockets and intraoral exposed bone after dental extraction. The treatment modality of case 1 included antibiotic therapy, sequestrectomy, periodontal flap, and chlorhexidine mouthwashes. After an eleven-month follow-up period the affected area has healed totally. The other patient refused any surgical intervention. In addition, this article reviews the current literature describing the dental procedures for patients with BRONJ.
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spelling doaj.art-7f8784833afc4067b08f8d06fa6078e42022-12-22T01:01:58ZengPensoft PublishersBioDiscovery2050-29662012-07-01111010.7750/BioDiscovery.2012.1.28917Bisphosphonate-related osteonecrosis of the jaws: Report of two cases with breast cancer, a dental concern and review of the literatureAhmet Ercan ŞekerciHalil SahmanMurat UluOsman A EtozYıldıray SismanBisphosphonates are becoming increasingly important in the treatment of metabolic and oncological diseases involving the skeleton. In recent years, several cases of necrosis of the jaws associated with long-term use of bisphoshponates have been reported. The management of bisphosphonate-related osteonecrosis of the jaws (BRONJ) is emerging as a significant problem in the field of dentistry. In this article, we report two new cases of patients with osteonecrosis induced by bisphosphonates. Two unrelated female patients undergoing treatment with bisphosphonates for metastatic breast cancer were referred to the department of oral surgery due to non-healing extraction sockets and intraoral exposed bone after dental extraction. The treatment modality of case 1 included antibiotic therapy, sequestrectomy, periodontal flap, and chlorhexidine mouthwashes. After an eleven-month follow-up period the affected area has healed totally. The other patient refused any surgical intervention. In addition, this article reviews the current literature describing the dental procedures for patients with BRONJ.https://biodiscovery.pensoft.net/article/8917/download/pdf/bisphosphonatesosteonecrosisjawszoledronic a
spellingShingle Ahmet Ercan Şekerci
Halil Sahman
Murat Ulu
Osman A Etoz
Yıldıray Sisman
Bisphosphonate-related osteonecrosis of the jaws: Report of two cases with breast cancer, a dental concern and review of the literature
BioDiscovery
bisphosphonates
osteonecrosis
jaws
zoledronic a
title Bisphosphonate-related osteonecrosis of the jaws: Report of two cases with breast cancer, a dental concern and review of the literature
title_full Bisphosphonate-related osteonecrosis of the jaws: Report of two cases with breast cancer, a dental concern and review of the literature
title_fullStr Bisphosphonate-related osteonecrosis of the jaws: Report of two cases with breast cancer, a dental concern and review of the literature
title_full_unstemmed Bisphosphonate-related osteonecrosis of the jaws: Report of two cases with breast cancer, a dental concern and review of the literature
title_short Bisphosphonate-related osteonecrosis of the jaws: Report of two cases with breast cancer, a dental concern and review of the literature
title_sort bisphosphonate related osteonecrosis of the jaws report of two cases with breast cancer a dental concern and review of the literature
topic bisphosphonates
osteonecrosis
jaws
zoledronic a
url https://biodiscovery.pensoft.net/article/8917/download/pdf/
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AT halilsahman bisphosphonaterelatedosteonecrosisofthejawsreportoftwocaseswithbreastcanceradentalconcernandreviewoftheliterature
AT muratulu bisphosphonaterelatedosteonecrosisofthejawsreportoftwocaseswithbreastcanceradentalconcernandreviewoftheliterature
AT osmanaetoz bisphosphonaterelatedosteonecrosisofthejawsreportoftwocaseswithbreastcanceradentalconcernandreviewoftheliterature
AT yıldıraysisman bisphosphonaterelatedosteonecrosisofthejawsreportoftwocaseswithbreastcanceradentalconcernandreviewoftheliterature