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Interventions for treating bisphosphonate-related osteonecrosis of the jaw (BRONJ)

MacDonald, Laura C I
Walsh, Tanya
Published in Cochrane database of systematic reviews. 2016, vol. 2, CD008455
Abstract Bisphosphonate drugs can be used to prevent and treat osteoporosis and to reduce symptoms and complications of metastatic bone disease; however, they are associated with a rare but serious adverse event: osteonecrosis of the maxillary and mandibular bones. This condition is called bisphosphonate-related osteonecrosis of the jaw or BRONJ. BRONJ is diagnosed when people who are taking, or have previously taken, bisphosphonates have exposed bone in the jaw area for more than eight weeks in the absence of radiation treatment. There is currently no "gold standard" of treatment for BRONJ. The three broad categories of intervention are conservative approaches (e.g. mouth rinse, antibiotics), surgical interventions and adjuvant non-surgical strategies (e.g. hyperbaric oxygen therapy, platelet-rich plasma), which can be used in combination.
Keywords Anti-Bacterial Agents/therapeutic useBisphosphonate-Associated Osteonecrosis of the Jaw/surgery/therapyCombined Modality Therapy/methodsHumansHyperbaric Oxygenation/methodsMouthwashes/therapeutic usePain MeasurementRandomized Controlled Trials as TopicStandard of CareTime Factors
PMID: 26919630
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Article (Published version) (427 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Research groups Groupe Desmeules Jules (pharmacologie/toxicologie) (567)
La médecine périopératoire et l'anesthésie (70)
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ROLLASON, Victoria et al. Interventions for treating bisphosphonate-related osteonecrosis of the jaw (BRONJ). In: Cochrane database of systematic reviews, 2016, vol. 2, p. CD008455. doi: 10.1002/14651858.CD008455.pub2 https://archive-ouverte.unige.ch/unige:86841

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Deposited on : 2016-09-07

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