2012, Number 3
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Rev Esp Med Quir 2012; 17 (3)
Successful management of osteonecrosis of the jaw due to bisphosphonates with the traditional technique plus infiltration of collagenpolyvinylpyrrolidone
Takasita GMS, Guerrero JM, Cuenca FLA, Minjarez ÁR, Sahagún FJE
Language: Spanish
References: 15
Page: 218-222
PDF size: 194.49 Kb.
ABSTRACT
The osteonecrosis of the jaw secondary to the administration of bisphosphonates consists of exposed and necrotic alveolar bone, this
condition can occur in patients with prostate cancer treated on the basis of bisphosphonates. To qualify as osteonecrosis, it is required
the presence of lesions associated with bisphosphonates, active for a minimum of eight weeks without healing or improvement. The
differential diagnosis includes mainly osteoradionecrosis, which can be discarded by history. There is no consensus on which is the
best treatment; aggressive bone removal and handling ozone have been used with poor results, the most used is the aggressive
removal of necrotic alveolar bone. We report a case successfully managed with removal of necrotic tissue infiltration, plus collagenpolyvinylpyrrolidone.
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