scholarly journals Jaw osteonecrosis after dental implants associated with oral bisphosphonates – case report of resection of mandible

RSBO ◽  
2017 ◽  
Vol 14 (2) ◽  
pp. 98-105
Author(s):  
Paola Fernanda Cotait de Lucas Corso ◽  
Sara Regina Todero ◽  
Aline Monise Sebastiani ◽  
Leandro Eduardo Kluppel ◽  
Nelson Luis Barbosa Rebellato ◽  
...  
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Osteonecrosis Of The Jaw ◽  
Oral Bisphosphonates ◽  
Titanium Plate ◽  
Form And Function ◽  
Recommended Treatment ◽  
Oral Bisphosphonate ◽  
Iliac Bone Graft ◽  
And Function

Osteonecrosis of the jaw is associated with defects in vascularization and with the use of oral bisphosphonates. Osseous exposition and infection may occur. Recommended treatment is variable, from antibiotic medication, bony decortication to resections of the mandible in severe cases. Reconstruction of mandible, in cases of resections is essential for maintaining esthetic profile and adequate form and function. Objective: To report a case about the dangers of oral bisphosphonates in association with invasive procedures such as dental implants Case report: Female patient, 64 years-old, with osteonecrosis of the jaw caused by use of oral bisphosphonates after rehabilitation with dental implants. She had an edentulous and atrophic mandible and poor healthy. After diagnosis, partial resection of the jaw was performed together with the reconstruction with titanium plate, with no success. Then, iliac bone graft fixed by plates and screws was attempted, again with no success. Conclusion: Despite of the small number of cases of osteonecrosis associated with oral bisphosphonate reported in the literature, a simple implant surgery could result in adverse consequences if the use of this medication were overlooked in the anamnesis.

scholarly journals Jaw osteonecrosis after dental implants associated with oral bisphosphonates – case report of resection of mandible

RSBO ◽  
2017 ◽  
Vol 1 (2) ◽  
pp. 98
Author(s):  
Paola Fernanda Cotait de Lucas Corso ◽  
Sara Regina Todero ◽  
Aline Monise Sebastiani ◽  
Leandro Eduardo Kluppel ◽  
Nelson Luis Barbosa Rebellato ◽  
...  
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Osteonecrosis Of The Jaw ◽  
Oral Bisphosphonates ◽  
Titanium Plate ◽  
Form And Function ◽  
Recommended Treatment ◽  
Oral Bisphosphonate ◽  
Iliac Bone Graft ◽  
And Function

Osteonecrosis of the jaw is associated with defects in vascularization and with the use of oral bisphosphonates. Osseous exposition and infection may occur. Recommended treatment is variable, from antibiotic medication, bony decortication to resections of the mandible in severe cases. Reconstruction of mandible, in cases of resections is essential for maintaining esthetic profile and adequate form and function. Objective: To report a case about the dangers oforal bisphosphonates in association with invasive procedures such as dental implants Case report: Female patient, 64 years-old, with osteonecrosis of the jaw caused by use of oral bisphosphonates after rehabilitation with dental implants. She had an edentulous and atrophic mandible and poor healthy. After diagnosis, partial resection of the jaw was performed together with the reconstruction with titanium plate, with no success. Then, iliac bone graft fixed by plates and screws was attempted, again with no success. Conclusion: Despiteof the small number of cases of osteonecrosis associated with oral bisphosphonate reported in the literature, a simple implant surgery could result in adverse consequences if the use of this medication were overlooked in the anamnesis.

scholarly journals A Clinical and Histological Study about the Socket Preservation in a Patient under Oral Bisphosphonates Treatment: A Case Report

Biology ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 262
Author(s):  
Antonello Falco ◽  
Francesco Bataccia ◽  
Lorenzo Vittorini Orgeas ◽  
Federico Perfetti ◽  
Mariangela Basile ◽  
...  
Keyword(s):  
Case Report ◽  
Histological Study ◽  
Healing Process ◽  
Signs And Symptoms ◽  
Bisphosphonate Therapy ◽  
Graft Material ◽  
Oral Bisphosphonates ◽  
Socket Preservation ◽  
Oral Bisphosphonate ◽  
Histological Data

The aim of the present study is to assess the clinical and histological healing of a post-extractive alveolus following the procedure for socket preservation, in a patient receiving oral bisphosphonates for more than 6 years. After the extraction, enzymatically-deantigenated horse bone granules and an equine pericardium membrane were used to preserve the tooth socket. The patient was placed on a monthly follow-up in order to monitor the healing process. A 3 mm trephine bur was used to drill the bone for implant site preparation and to collect the bone sample. No signs and symptoms related to osteonecrosis of the jaws were reported. Histological data showed that, after 5 months, the mean percentages of trabecular bone, bone marrow and residual bone graft were respectively 45.74 ± 0.09%, 48.09 ± 0.08%, and 6.16 ± 0.01%. The residual graft material appeared to be osteointegrated and none of the particles appeared to be encapsulated. The present case report supports the guidelines that assume that patients undergoing oral bisphosphonate therapy can be eligible for surgical therapy. More clinical studies with larger sample sizes are needed to support this clinical evidence.

Development of Antiresorptive Agent-Related Osteonecrosis of the Jaw After Dental Implant Removal: A Case Report

2018 ◽  
Vol 44 (5) ◽  
pp. 359-364
Author(s):  
Shinsuke Yamamoto ◽  
Keigo Maeda ◽  
Izumi Kouchi ◽  
Yuzo Hirai ◽  
Naoki Taniike ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Implant ◽  
Osteonecrosis Of The Jaw ◽  
Japanese Woman ◽  
Implant Removal ◽  
Antiresorptive Agent ◽  
Oral Bisphosphonate ◽  
Antiresorptive Agents ◽  
The Right ◽  
Implant Treatment

Dental implant treatment is a highly predictable therapy, but when potentially lethal symptoms or complications occur, dentists must remove the implant fixture. Recently, reports on antiresorptive agent-related osteonecrosis of the jaw have increased in the field of dental implants, although the relationship between dental implant treatment and antiresorptive agents remains unclear. Here, we report a case of antiresorptive agent-related osteonecrosis of the jaw that developed after dental implant removal. A 67-year-old Japanese woman with a medical history of osteoporosis and 7 years of oral bisphosphonate treatment was referred to our hospital with a chief complaint of painful right mandibular bone exposure. A family dentist removed the dental implants from the right mandible using a trephine drill without flap elevation in August 2016. However, the healing was impaired; she was referred to our hospital 3 months after the procedure. We performed a sequestrectomy of the mandible under general anesthesia. In conclusion, this patient's course has two important implications: First, the removal of dental implants from patients who are prescribed oral bisphosphonates for long durations can cause antiresorptive agent-related osteonecrosis of the jaw. Second, meticulous procedures are required to prevent and treat the development of antiresorptive agent-related osteonecrosis of the jaw after dental implant removal.

Necrotizing fasciitis as a complication of osteonecrosis of the jaw related to oral bisphosphonate application in a patient with osteoporosis: a case report

2018 ◽  
Vol 23 (1) ◽  
pp. 83-89 ◽  
Author(s):  
David Steybe ◽  
Pit Jacob Voss ◽  
Michael Andreas Ermer ◽  
Marc Anton Fuessinger ◽  
Rainer Schmelzeisen ◽  
...  
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Osteonecrosis Of The Jaw ◽  
Oral Bisphosphonate

Natural Tooth Versus Implant: A Key to Treatment Planning

2012 ◽  
Vol 38 (1) ◽  
pp. 95-100 ◽  
Author(s):  
Rita Chandki ◽  
Munniswamy Kala
Keyword(s):  
Treatment Planning ◽  
Dental Implants ◽  
Standard Treatment ◽  
Treatment Protocol ◽  
Body Parts ◽  
Missing Teeth ◽  
Form And Function ◽  
And Function ◽  
Work Done ◽  
Natural Tooth

Since time immemorial, man has constantly contrived to replace natural body parts that are either congenitally absent or lost subsequent to disease or injury, so as to maintain a perfect amalgam of form and function. Dental implants have recently become established as a standard treatment protocol for replacing missing teeth. Ostensibly, a dilemma has arisen whether the implant should obviate the necessity to preserve teeth with debatable restorative prognosis. This article attempts to review the work done hitherto and to formulate a combined perspective in such cases.

scholarly journals Partial Explantation of Failed Dental Implants Placed in Mandibular Canal: A Case Report

2018 ◽  
Vol 44 (6) ◽  
pp. 456-461 ◽  
Author(s):  
Erik Sahl ◽  
Ali Alqahtani ◽  
Nasser M Alqahtani ◽  
Fabrice Gallez
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Nerve Injury ◽  
Dental Implant ◽  
Mandibular Canal ◽  
Recommended Treatment ◽  
Implant Placement ◽  
Osseointegrated Implants ◽  
Osseointegrated Implant

One of the most important concerns during posterior mandibular implant placement is avoiding the mandibular canal. Nerve injury can be very disturbing to the patient, possibly causing mild paresthesia to complete anesthesia. Explantation of a dental implant that gas violated the mandibular canal is the most recommended treatment. However, an osseointegrated implant that placed in the mandibular canal can be left if the patient shows no symptoms. In this case report, we describe a technique to maintain the apexes of the implants while partially removing fractured osseointegrated implants previously placed in the mandibular canal.

scholarly journals Restoration of a Traumatically Amputated Finger by a Traditional Glove-Type Prosthesis: A Case Report

2021 ◽  
Vol 3 (3) ◽  
pp. 41-45
Author(s):  
Simarpreet Kaur ◽  
Mandeep Kaur ◽  
Anupama Verma ◽  
Tarun Singh
Keyword(s):  
Case Report ◽  
Index Finger ◽  
Treatment Plan ◽  
Psychological Trauma ◽  
Microvascular Reconstruction ◽  
Prosthetic Rehabilitation ◽  
Form And Function ◽  
Custom Made ◽  
The Individual ◽  
And Function

Background: Each organ serves a specific function in the human body. Congenital absence or loss of even minor parts of it can pose extreme psychological trauma in addition to the functional impairment and esthetic issues encountered by the individual. Amputation of complete or a part of phalange of hand is frequently encountered either due to trauma or necrosis. Restoration of such defects become mandatory to improve general form and function combined with the esthetic requirements of the patient. It can either be done by microvascular reconstruction or prosthetic rehabilitation. The latter becomes the means of choice in cases where the former is either not possible, unavailable, unsuccessful, or unaffordable. Case Report: A case report has been presented of a 60 years old patient with an old traumatic partially amputated index finger. Treatment Plan: A custom-made glove-type prosthesis was fabricated using silicone elastomer. Conclusion: A ring is provided for better esthetics and special adhesive is recommended for retention of the prosthesis. 

Treatment of Bisphosphonate-Related Osteonecrosis of the Jaw With Plasma Rich in Growth Factors After Dental Implant Surgery: A Case Report

2019 ◽  
Vol 45 (4) ◽  
pp. 289-296 ◽  
Author(s):  
Ignacio García Gil ◽  
Barbara Molina Ponte ◽  
Sergio Trapote Mateo ◽  
Jaime Jiménez García
Keyword(s):  
Growth Factors ◽  
Dental Implants ◽  
Dental Implant ◽  
Clinical Case ◽  
Scientific Evidence ◽  
Osteonecrosis Of The Jaw ◽  
Oral Bisphosphonates ◽  
Implant Surgery ◽  
Dental Implant Surgery

Oral bisphosphonates are commonly used to improve bone density in patients who suffer from a variety of pathologies. However, they have also been known to cause bisphosphonate-related osteonecrosis of the jaws (BRONJ). The aim of this clinical case presentation is to (1) determine whether the currently recommended length of time that oral bisphosphonates should be discontinued, before performing dental implant surgery, is sufficient to prevent BRONJ and (2) to describe an alternative treatment for BRONJ. A 65-year-old female patient developed BRONJ after receiving mandibular dental implants 5 months after discontinuing alendronic acid (Fosamax). The BRONJ was treated by surgical osteotomy and plasma rich in growth factors (PRGF), and the patient was followed up with biweekly examinations, which included 0.2% chlorhexidine mouthwashes and removal of any remaining necrotic bone. The dental implants were loaded 41 weeks after surgery and followed up with periapical radiographs and implant stability quotient measurements at 3, 6, 12, and 24 months postloading. Although the Association of Oral and Maxillofacial Surgeons protocols for suspension of presurgical oral bisphosphonates were followed, this patient still developed BRONJ after implant surgery. While a multitude of treatments have been described in the literature, there is not enough scientific evidence to support any one treatment. Based on this clinical case, it can be concluded that the potential adverse effects of oral bisphosphonates on the jaws could be greater than expected and that treatment with PRGF produces promising results, although more long-term studies are necessary to confirm these findings.

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