ACTA FAC MED NAISS 2009; 26 (2): 63-69

Original article

REVIEW OF JAW OSTEONECROSIS IN PATIENTS TREATED WITH BISPHOSPHONATE

 

Milan Knezevic1, Dragan Petrovic2, Sladjana Petrovic3

1Maxillofacial Department Hospital University Insular, Las Palms, Spain
2 Maxillofacial Department, Faculty of Medicine, University of Nis, Serbia
3 Institute of Radiology, Clinical Center, Nis, Serbia


SUMMARY

This article presents a small series of the patients with osteonecrosis of the jaws (OJ), recently treated with bisphosphonate (BP).
The OJ is a significant complication revealed recently as a consequence of the treatment with BP.
From 2003, the cases of OJ in relation to intravenous administration of BP have been published, particularly in the patients with advanced cancer and bone metastases. Also, there have been mentioned the cases of OJ with oral intake of BP.
Low incidence and lack of information as well as its recent detection results in the fact that the OJ is still an unknown issue, although these patients are seen relatively frequently and many patients with OJ appear in medical/dental offices.

Key words: osteonecrosis of the jaws, bisphosphonate, osteoporosis, bone metastases, prevention