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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Journal of Oral and ...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Journal of Oral and Maxillofacial Surgery
Article . 2006 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
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Bisphosphonate-associated osteonecrosis (BON) of the jaws: A possible treatment?

Authors: VESCOVI, Paolo; MERIGO E; MELETI, Marco; MANFREDI, Maddalena;

Bisphosphonate-associated osteonecrosis (BON) of the jaws: A possible treatment?

Abstract

Management of bisphosphonate-associated osteonecrosis (BON) of the jaws is currently a very topical subject. At present, there is no effective treatment for this condition. Several authors have recommended that prevention, when possible, of BON in patients at risk is the gold standard. In established cases, bisphosphonate therapy should not be discontinued; aggressive surgery of bone defects is mostly counterproductive, and furthermore, hyperbaric oxygen is of no benefit to patients affected with BON. In accordance with these restrictive therapy guidelines, the conclusion has been that these patients must and can live with some exposed bone in the oral cavity. [1], [2] and [3] Intermittent or continuous antibiotic therapy (penicillin V-K 500 mg, 4 times daily in association with metronidazole 500 mg, 3 times daily) has been shown to be beneficial as symptomatic treatment. [1] and [2] However, bisphosphonates are commonly prescribed (both intravenously and orally) for a range of conditions including osteoporosis, Paget’s disease, multiple myeloma, hypercalcemia of malignancy, and bone metastases of malignancies (such as breast and prostate cancer). Therefore, patients receiving these drugs are characterized by different systemic metabolic conditions, life expectancy, and ability to bear the side effects of these prolonged (and sometimes permanent) therapeutic antibiotic schemes. In addition, patients affected by BON of the jaws often develop recurrence of bone defects, with variable timing, in spite of the antibiotic treatments. Thus, it would be useful to find an alternative treatment of this condition.

Country
Italy
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Keywords

Wound Healing, Bone Regeneration, Bone Density Conservation Agents, Diphosphonates, Osteonecrosis, 610, Combined Modality Therapy, Anti-Bacterial Agents, Calcification, Physiologic, Treatment Outcome, Debridement, 617, Humans, Low-Level Light Therapy, Jaw Diseases, Follow-Up Studies

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
48
Top 10%
Top 10%
Top 10%
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