Bisphosphonate-associated osteonecrosis of the jaw: the rheumatologist's role

被引:29
作者
Capsoni, Franco [1 ]
Longhi, Matteo
Weinstein, Roberto
机构
[1] Univ Milan, Ist Ortoped Galeazzi IRCCS, Rheumatol Unit, I-20122 Milan, Italy
[2] Univ Milan, Ist Ortoped Galeazzi IRCCS, Dept Odontol, I-20122 Milan, Italy
关键词
D O I
10.1186/ar2050
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Several recent reports have described osteonecrosis of the jaws (ONJ) associated with the use of bisphosphonates. Rheumatologists treating bone diseases with bisphosphonate need, therefore, to be aware of this potential risk and plan the prophylaxis, early diagnosis and prevention of potential consequences. We review the literature on this newly described complication, with particular focus on systemic and local predisposing pathologies, preventive measures suggested before and during therapy with bisphosphonates, and the most frequent clinical presentation of the oral lesions. The expert panel recommendations for the management of care of patients who develop ONJ are summarized.
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页数:6
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