scholarly journals Osteonecrosis of the maxilaries associated with use of biphosphonate

Author(s):  
Jamille Lacerda

Introduction: Bisphosphonates (BF) are inhibitors of reabsorption bone and are indicated for the treatment of Osteoporosis, Bone Metastasis, Multiple Myelomas and Paget's Disease. They are pyrophosphate analogs, which have high affinity for bone tissue inhibiting the action of osteoclasts. Although it has benefits for patients with of such diseases by assisting, for example, in the pain control prolonged use may lead to osteonecrosis of the jaws. Objectives: This article aims to review themedical literature on the use of bisphosbonates and dental surgeries. Materials and Methods: The indexed articles google academico and PubMed were scanned and the articles with the highest impact factor were selected. Results: We found 350 articles and selected 20 with the highest impact factor. Conclusion: Bisphosphonates are substances that can cause oteonecrosis in patients undergoing invasive dental treatments. KEY WORDS: Osteonecrosis, bisphosphonate, necrosis of the jaws

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M A Mostafa ◽  
S I Azmy ◽  
M A Ahmad

Abstract Metastatic tumors are the commonest Tumors of the bone. Wide variety of surgical modalities are available for management of bone metastasis. This review describes functional improvement, pain control, and survival after surgical management of the bone metastasis. Surgical management is found to lead to better pain control and functional improvement, with comparable results of survival rate with other reviews like ours.


2020 ◽  
Vol 4 (34) ◽  
pp. 5-6
Author(s):  
D. V. Stomatov ◽  
Yu. V. Efimov ◽  
A. V. Stomatov ◽  
E. Yu. Efimova ◽  
A. A. Nesterov

The analysis of scientific literature on the use of bisphosphonates in the treatment of osteoporosis. This effective group of drugs was included in the first line of appointments by specialists dealing with the problem of osteoporosis. At the same time, a number of authors associate the appearance of medicinal osteonecrosis of the jaws, called BONJ (bisphosphonate osteonecrosis of the jaws), in patients with the administration of bisphosphonates. One of the triggering mechanisms of the emergence of BONJ are surgical dental interventions performed in patients receiving bisphosphonates. Today, patients may not understand the seriousness of taking these drugs and often do not warn the dentist before manipulation, as well as not all dentists attach importance to the danger of drugs from osteoporosis. In this paper, based on the analysis of scientific literature, the attention of dentists to the problem of possible complications in the treatment of patients with osteoporosis, taking bisphosphonates. A questionnaire included in the questionnaire of a dental patient, taking into account the name of the drug and the duration of its administration, is proposed.


1991 ◽  
Vol 69 (5) ◽  
pp. 1003-1007 ◽  
Author(s):  
Mikio Tsuzuki ◽  
Shigetoh Miyachi

Effects of CO2 concentration on microalgae, especially on Chlorella, are discussed from the aspect of the high affinity of microalgae for inorganic carbon (Ci) in photosynthesis. Accumulation of Ci and carbonic anhydrase are the two main factors underlying the high affinity for Ci. The other factors such as development of carboxysomes and pyrenoids under low CO2 conditions may also be important. Contribution of each factor to the high affinity for Ci in photosynthesis seems to differ from species to species. Key words: Chlorella, inorganic carbon transport, carbonic anhydrase, fatty acids composition, CO2.


2002 ◽  
Vol 3 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Christine Miaskowski ◽  
Kayee Alice Mack ◽  
Marylin Dodd ◽  
Claudia West ◽  
Steven M. Paul ◽  
...  
Keyword(s):  

2018 ◽  
Vol 1 (1) ◽  
pp. 50
Author(s):  
Romeo Ioan Chira ◽  
Alexandra Chira ◽  
Adriana Calauz ◽  
Roberta Maria Manzat Saplacan ◽  
Georgiana Nagy ◽  
...  

Aims: The purpose of this study was to analyze the diagnostic yield and accuracy of the ultrasound (US) guided core biopsy in a population of patients with osteolytic metastasis. Materials and methods: We performed a retrospective analysis of 16 consecutive cases of US-guided core biopsies of osteolytic lesions performed in our Ultrasound Unit, from January 2006 to May 2017. We used 18G or 16G Tru-cut needles coupled with automated biopsy guns. We procured a maximum number of two tissue specimens per patient.Results: We obtained a diagnostic yield and accuracy of 93.75% (15 of 16 patients) for US-guided core biopsy of osteolytic metastasis. Most of our cases were metastasis of adenocarcinomas (8 patients), squamous cell carcinomas (3 patients) followed by multiple myelomas (2 patients). Other pathologic lesions recorded were undifferentiated carcinoma (1 patient) and mesenchimal undifferentiated tumor (1 patient). The pathologic result was inconclusive in one patient.Conclusions: Our study supports the important diagnostic role of US-guided core biopsy for osteolytic bone metastasis. Two US-guided passages may be sufficient to procure a diagnostic tissue samples from osteolytic bone metastasis, if theirlength is at least 10 mm. 


2002 ◽  
Vol 97 ◽  
pp. 433-437 ◽  
Author(s):  
Motohiro Hayashi ◽  
Takaomi Taira ◽  
Mikhail Chernov ◽  
Seiji Fukuoka ◽  
Roman Liscak ◽  
...  

Object. The authors have treated intractable pain, particularly cancer pain related to bone metastasis, with various protocols. Cancer pain has been treated by gamma knife radiosurgery (GKS), targeted to the pituitary gland—stalk, as an alternative new pain control method. The purpose of this study was to investigate a prospective multicenter protocol to prove the efficacy and the safety of this treatment. Methods. Indications for patient inclusion in this treatment protocol were: 1) pain related to bone metastasis; 2) no other effective pain treatment options; 3) general condition rated as greater than 40 on the Karnofsky Performance Scale; 4) morphine effective for pain control; and 5) no previous treatment with radiation (GKS or conventional radiotherapy) for brain metastasis. The authors at one institution have treated two patients, who suffered from severe cancer pain related to bone metastasis, by using GKS. The target was the pituitary gland. The maximum dose was 160 Gy with one isocenter of an 8-mm collimator, keeping the radiation dose to the optic nerve less than 8 Gy. At another institution two patients were treated in the same way; an additional five patients were treated similarly with targeting of the pituitary gland with two isocenters of 4-mm collimator. In all nine cases, pain resolved without significant complication. Pain relief was observed within several days, and this effect was prolonged until the day that they died. At a follow up of 1 to 24 months, no recurrences and no hormonal dysfunction were observed. Conclusions. Despite insufficient experience, the efficacy and the safety of GKS for intractable pain were demonstrated in nine patients. This treatment has the potential to ameliorate cancer-related pain, and GKS will play a more important role in the treatment of intractable pain. More experience and additional refined study protocols are needed to evaluate which parameters are important, to determine what treatment strategy is the best, and to clarify the safest option for patients with intractable cancer pain.


2004 ◽  
Vol 48 (5-6) ◽  
pp. 599-606 ◽  
Author(s):  
Luc A.M.-L. Vakaet ◽  
Tom Boterberg

2007 ◽  
Vol 18 (3) ◽  
pp. 556-560 ◽  
Author(s):  
D. Aguiar Bujanda ◽  
U. Bohn Sarmiento ◽  
M.Á. Cabrera Suárez ◽  
J. Aguiar Morales

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