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Course Syllabus
Successful Management of a Severe Case of Bisphosphonate Related Osteonecrosis of the Jaw in a Multiple Myeloma Patient (JIACD - Oct 2009)
Contact Hours: 2
Price: $30.00
Background: Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a serious oral complication of bisphosphonate treatment involving the exposure of necrotic maxillary or mandibular bone. BRONJ is associated with pain, paresthesia, and oral dysfunction generating an impairment of the quality of life. Treatment of this complication remains difficult and the most useful action is prevention. Case Report: This is a case report of a multiple myeloma patient whose first signs of BRONJ began in 2002 with the development of an aggressive bilateral osteonecrosis of the mandible. Successful management of this case is described with 17 months of follow up monitoring. Conclusions: This case supports the concept that BRONJ may be successfully treated. The approach described to treat this case, especially regarding sequestrum management, could minimize the surgical corrections after the sequestrum is removed
After reading this article, the reader should be able to:- Discuss Bisphosphonate Related Osteonecrosis of the Jaw (BRONJ)and its causes.
- Understand how to diagnosis and manage BRONJ
- Understand the surgical and
pharmocological management of BRONJ
Questions
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