Osteonecrosis of the jaws in patients under osteoporosis treatment: a nine-year experience report
Arch. endocrinol. metab. (Online)
; 67(4): e000612, Mar.-Apr. 2023. tab
Article
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LILACS-Express
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| ID: biblio-1439227
Biblioteca responsable:
BR1.1
ABSTRACT
ABSTRACT Objective:
This study aimed to report the experience of medication-related osteonecrosis of the jaws (MRONJ) in osteoporotic patients for nine years, and their associated initiating factors. Materials andmethods:
The numbers of invasive oral procedures (IOP) (tooth extraction, dental implant placement, and periodontal procedures) and removable prostheses performed from January 2012 to January 2021 were obtained from the digital records of a large public dental center. There were an estimated 6,742 procedures performed in patients under osteoporosis treatment.Results:
Two cases (0.03%) of MRONJ were registered in nine years amongst patients with osteoporosis who had dental treatment at the center. From the 1,568 tooth extractions, one patient (0.06%) developed MRONJ. There was also one case from the 2,139 removable prostheses delivered (0.05%).Conclusions:
The prevalence of MRONJ associated with osteoporosis treatment was very low. The protocols adopted seem to be adequate for the prevention of this complication. The findings of this study reinforce the rare frequency of MRONJ associated with dental procedures in patients submitted to the pharmacological management of osteoporosis. An integral analysis of systemic risk factors and oral preventive strategies may be considered regularly in the dental treatment of these patients.
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LILACS
Tipo de estudio:
Guideline
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Risk_factors_studies
Idioma:
En
Revista:
Arch Endocrinol Metab
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Arch. endocrinol. metab. (Online)
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Archives of endocrinology and metabolism (Impresso)
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Archives of endocrinology and metabolism (Online)
Asunto de la revista:
ENDOCRINOLOGIA
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METABOLISMO
Año:
2023
Tipo del documento:
Article