scholarly journals 89. Roentgenographic Study on Temporomandibular Joint of the Patient of Diver's Disease accompanied with Avascular Bone Necrosis

1967 ◽  
Vol 21 (3) ◽  
pp. 317-319
Author(s):  
K. Chen
Keyword(s):  
Temporomandibular Joint ◽  
Bone Necrosis ◽  
Avascular Bone Necrosis ◽  
Roentgenographic Study

scholarly journals Glucocorticoid-Induced Avascular Bone Necrosis: Diagnosis and Management

2012 ◽  
Vol 6 (1) ◽  
pp. 449-457 ◽  
Author(s):  
KL Chan ◽  
CC Mok
Keyword(s):  
Early Recognition ◽  
Early Stage ◽  
Weight Bearing ◽  
Plain Radiograph ◽  
Core Decompression ◽  
Bone Necrosis ◽  
Avascular Bone Necrosis ◽  
Magnetic Resonance Imaging Mri ◽  
High Index Of Suspicion

Glucocorticoid use is one of the most important causes of avascular bone necrosis (AVN). The pathogenesis of glucocorticoid-induced AVN is not fully understood but postulated mechanisms include fat hypertrophy, fat emboli and intravascular coagulation that cause impedance of blood supply to the bones. Data regarding the relationship between AVN and dosage, route of administration and treatment duration of glucocorticoids are conflicting, with some studies demonstrating the cumulative dose of glucocorticoid being the most important determining factor. Early recognition of this complication is essential as the prognosis is affected by the stage of the disease. Currently, there is no consensus on whether universal screening of asymptomatic AVN should be performed for long-term glucocorticoid users. A high index of suspicion should be exhibited for bone and joint pain at typical sites. Magnetic resonance imaging (MRI) or bone scintigraphy is more sensitive than plain radiograph for diagnosing early-stage AVN. Conservative management of AVN includes rest and reduction of weight bearing. Minimization of glucocorticoid dose or a complete withdrawal of the drug should be considered if the underlying conditions allow. The efficacy of bisphosphonates in reducing the rate of collapse of femoral head in AVN is controversial. Surgical therapy of AVN includes core decompression, osteotomy, bone grafting and joint replacement. Recent advances in the treatment of AVN include the use of tantalum rod and the development of more wear resistant bearing surface in hip arthroplasty.

scholarly journals Comment on ‘Jaw avascular bone necrosis associated with long-term use of biphosphonates’

2006 ◽  
Vol 17 (2) ◽  
pp. 350-352 ◽  
Author(s):  
D. Errante ◽  
N. Mannucci ◽  
D. Bernardi ◽  
A. Bianco ◽  
L. Salvagno
Keyword(s):  
Bone Necrosis ◽  
Avascular Bone Necrosis

Risk factors for avascular bone necrosis in patients with systemic lupus erythematosus

2010 ◽  
Vol 32 (1) ◽  
pp. 177-182 ◽  
Author(s):  
Mehmet Sayarlioglu ◽  
Nergis Yuzbasioglu ◽  
Murat Inanc ◽  
Sevil Kamali ◽  
Ayse Cefle ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Systemic Lupus ◽  
Bone Necrosis ◽  
Avascular Bone Necrosis

scholarly journals Protesa obturator definitif resin akrilik pada pasien systemic lupus erythematosus (SLE) pasca maksilektomi

2020 ◽  
Vol 32 (2) ◽  
pp. 63
Author(s):  
Pramudya Aditama ◽  
Erwan Sugiatno ◽  
Murti Indrastuti ◽  
Endang Wahyuningtyas
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Wire Mesh ◽  
Systemic Lupus ◽  
Bone Necrosis ◽  
Avascular Bone Necrosis ◽  
Titanium Wire

ABSTRAKPendahuluan: Systemic lupus erythematosus (SLE) merupakan inflamasi kronis yang dapat melibatkan sistem saraf, membran mukosa, dan organ lain dalam tubuh. Avascular bone necrosis (AVN) merupakan gejala yang muncul pada penderita SLE. Maksilektomi dilakukan pada tulang maksila yang mengalami AVN. Penutupan celah pasca maksilektomi tersebut dilakukan dengan cara  menggunakan protesa maksilofasial intraoral yaitu obturator. Tujuan laporan kasus ini mengkaji rehabilitasi prostetik menggunakan protesa obturator definitif resin akrilik pada penderita SLE pasca maksilektomi. Laporan kasus: Seorang wanita berusia 21 tahun datang ke Poli Gigi dan Mulut RSUP Dr. Sardjito dengan keluhan bau mulut, hilangnya gusi pada langit-langit, dan kegoyahan gigi rahang atas. Pasien didiagnosis SLE sejak lebih dari 1 tahun yang lalu. Pada pemeriksaan intraoral, selain lesi pada mukosa palatum, ditemukan juga nekrosis pada tulang palatum, kehilangan gigi 14, 15, 16, dan 25, serta kegoyahan derajat 3 pada seluruh gigi rahang atas yang tersisa. Pasien dirawat dengan obat Myfortic (2 x 180 mg/hari) dan Fluconazole (1x150 mg/hari) kemudian dirujuk ke Poli Bedah Mulut untuk dilakukan maksilektomi, dilanjutkan dengan pembuatan protesa obturator oleh tim prostodonti. Pasien dibuatkan obturator pasca bedah untuk menutup celah palatum pasca maksilektomi. Pencetakan menggunakan bahan hydrocolloid irreversible sebelum operasi untuk pembuatan obturator pasca bedah. Insersi obturator menunjukkan celah palatum tertutup rapat oleh plat akrilik. Retensi didapatkan menggunakan kawat stainless pada titanium wire mesh pengganti tulang maksila. Tidak ada keluhan saat kontrol, penelanan baik. Tiga bulan pasca pemakaian obturator pasca bedah dilakukan pemasangan obturator definitif resin akrilik rahang atas. Pemeriksaan klinis menunjukkan suara sengau berkurang, estetis, dan pengunyahan baik. Simpulan: Protesa obturator definitif resin akrilik pada pasien SLE pasca maksilektomi dapat mengembalikan fungsi estetik, mengurangi suara sengau (mengembalikan fungsi bicara), mengembalikan fungsi penelanan, dan pengunyahan.

Avascular Bone Necrosis

2009 ◽  
pp. 197-199
Author(s):  
Hubert Scharnagl ◽  
Winfried März ◽  
Markus Böhm ◽  
Thomas A. Luger ◽  
Federico Fracassi ◽  
...  
Keyword(s):  
Bone Necrosis ◽  
Avascular Bone Necrosis

scholarly journals Risk factors for avascular bone necrosis in patients with lupus nephritis

Bone Reports ◽  
2020 ◽  
Vol 13 ◽  
pp. 100581
Author(s):  
Daniela Monova ◽  
Simeon Monov ◽  
Dobrina Mluchkova ◽  
Maria Stambolova
Keyword(s):  
Risk Factors ◽  
Lupus Nephritis ◽  
Bone Necrosis ◽  
Avascular Bone Necrosis
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