KMID : 0363020100400020090
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Journal of Korean Academy of Periodontology 2010 Volume.40 No. 2 p.90 ~ p.95
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Implant failure associated with oral bisphosphonate-related osteonecrosis of the jaw
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Shin Eun-Young
Kwon Young-Hyuk Herr Yeek Shin Seung-Il Chung Jong-Hyuk
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Abstract
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Purpose: The aim of this study is to report a case of oral bisphosphonate-related osteonecrosis of the jaw (BRONJ) resulting in implant failure.
Methods: A patient suspected of having BRONJ was referred to the Department of Periodontology, Kyung Hee University School of Dentistry for the evaluation and treatment of exposed bone around implants.
Results: The patient, who had been taking oral bisphosphonates (BPs) for about a year, was successfully treated with systemic antibiotics, chlorhexidine mouth rinse, explantation, and surgical debridement of necrotic bone.
Conclusions: The results of this case suggest that a patient taking BPs orally should be treated cautiously. Appropriate management including cessation of BPs and respective dental treatment may reduce the development of BRONJ.
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KEYWORD
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Bisphosphonates, Osteonecrosis, Osteoporosis
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