scholarly journals Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaws with the Use of Buccal Fat Pad: Case Report

2015 ◽  
Vol 26 (3) ◽  
pp. 317-320 ◽  
Author(s):  
Luiz Fernando Mathias Duarte ◽  
Kleber Alonso ◽  
Elaine Cristina Basso ◽  
Luciano Lauria Dib

Bisphosphonate-related osteonecrosis of the jaws (BROJ) has been described since 2003 as an adverse effect of bisphosphonate medications. These drugs act on the vasculature and bone remodeling, mainly on osteoclastic activity and can cause areas of necrotic bone exposure. Treatment for the BROJ is not yet defined, but surgical treatment is one of the forms proposed, which may cause oral deformities like sinus communication in some cases. In situations like this the buccal fat pad is an important alternative for coating nasal-oral communications, due its large blood supply, elasticity, absence of restriction by age and safety. This paper presents the case of a 58-year-old woman with BROJ in the left maxilla caused by the use of zoledronic acid for metastatic breast cancer. The extensive necrotic bone area was surgically removed resulting in oral sinus communication. A buccal fat pad was used to cover the defect. More studies should be performed regarding the treatment of BROJ but, if necessary, a buccal fat pad flap could be an alternative to solve nasal-oral communications related to BROJ.

2006 ◽  
Vol 7 (1) ◽  
pp. 107-116 ◽  
Author(s):  
Melahat Öğütcen-Toller ◽  
Ismail Şener ◽  
Vildan Kasap ◽  
Nilüfer Çakir-Özkan

Abstract Myxoma is a benign tumor that arises from mesenchymal tissue and is found less commonly in the bone than in soft tissue. The majority of bony myxomas occur in the jaws. When compared with other odontogenic tumors, myxoma of the jaws is a rare entity. Numerous types of treatment have been used for these tumors including simple curettage, enucleation, curettage with peripheral ostectomy, and en bloc resection with or without immediate reconstruction. The buccal fat pad (BFP) is a lobulated mass of fatty tissue in the oromaxillofacial region, which has long been a source of grafts in facial augmentation. A case of an odontogenic myxoma in the left maxillary molar area of a 34-year-old female that was treated by curettage and peripheral ostectomy is presented. The surgical defect was successfully repaired with a pedicled BFP flap. Citation Öğütcen-Toller M, Şener I, Kasap V, Çakir-Özkan N. Maxillary Myxoma: Surgical Treatment and Reconstruction with Buccal Fat Pad Flap: A Case Report. J Contemp Dent Pract 2006 February;(7)1:107-116.


2020 ◽  
Vol 5 (1) ◽  
pp. 1-5
Author(s):  
Picardo Silvana N ◽  

The American Surgery of Bone Mineral Research (ASBMR) defined MRONJ as “necrotic bone area exposed to the oral environment with more than eight weeks of permanence, in the presence of chronic treatment with BPs, in the absence of radiation therapy to the head and neck in 2007.


Author(s):  
ISADORA PEREIRA GOMES ◽  
POLIANNE ALVES MENDES NASCIMENTO ◽  
EDUARDO MORATO DE OLIVEIRA ◽  
JOSÉ ALCIDES ALMEIDA ARRUDA ◽  
MARIA CÁSSIA FERREIRA DE AGUIAR ◽  
...  

2015 ◽  
Vol 73 (11) ◽  
pp. 2082-2086 ◽  
Author(s):  
Mattia Berrone ◽  
Filippo Umberto Florindi ◽  
Vincenzo Carbone ◽  
Carola Aldiano ◽  
Monica Pentenero

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