Bisphosphonate osteonecrosis: a protocol for surgical management.

Br J Oral Maxillofac Surg

Department of Oral & Maxillofacial Surgery, Crosshouse Hospital, Kilmarnock, Ayrshire, UK.

Published: June 2009

AI Article Synopsis

  • A new protocol is introduced for managing patients with bisphosphonate osteonecrosis who experience painful, exposed alveolar bone.
  • The protocol is adaptable for different oral cavity anatomies and addresses the lack of mucosal coverage in current management guidelines.
  • A study was conducted on 15 patients, tracking their postoperative recovery over a period of 24 months.

Article Abstract

We present a protocol for the management of a subgroup of patients with bisphosphonate osteonecrosis who presented with painful, exposed, necrotic, alveolar bone. It is simple and can easily be adapted to suit anatomical variations of the oral cavity. Current guidelines based on consensus for the management of bisphosphonate-induced osteonecrosis fail to provide mucosal coverage, which is a primary requirement in managing the condition. We have evaluated the results of a group of 15 patients and analysed their postoperative progress for 24 months.

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http://dx.doi.org/10.1016/j.bjoms.2009.01.007DOI Listing

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