Journals / Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi / 2017 / Cilt: 8 - Sayı: 2

Medication Related Osteonecrosis of The Jaws (Mronj): Review

İlaca Bağlı Olarak Görülen Çene Kemiklerinde Görülen Osteonekroz (Mronj): Derleme

Pages
50–57
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The aim of the present review was to analyze the etiology, clinical manifestations, risk factors, radiologic features and different treatment strategies of MRONJ.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Bisphosphonates are synthetic analogues of pyrophosphates used for the treatment of hypercalcemia in patients with malignancies and bone metastasis and for the treatment of multiple myeloma, bone resorption in the case of metastatic malignant diseases, and in the treatment of osteoporosis.
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Key Findings & Data:Bisphosphonates related osteonecrosis of the jaw cases accelarated at the end of 2003.
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Conclusion & Impact:The aim of the present review was to analyze the etiology, clinical manifestations, risk factors, radiologic features and different treatment strategies of MRONJ.
🔬Design:Review & Systematic Survey
📍Scope:2003 Verileri
⚙️Variables:Domain Parameters

Abstract

Bisphosphonates are synthetic analogues of pyrophosphates used for the treatment of hypercalcemia in patients with malignancies and bone metastasis and for the treatment of multiple myeloma, bone resorption in the case of metastatic malignant diseases, and in the treatment of osteoporosis. Bisphosphonates related osteonecrosis of the jaw cases accelarated at the end of 2003. Due to some medications, American Association of Oral and Maxillofacial Surgery modified the concept as medication related osteonecrosis of the jaw (MRONJ) in 2014. The aim of the present review was to analyze the etiology, clinical manifestations, risk factors, radiologic features and different treatment strategies of MRONJ.

Özet

Bifosfonatlar pirofosfatların sentetik analogları olup; malignensilere bağlı olarak gelişen hiperkalsemi, multipl myeloma, kemik metastazı tedavisinin yanında osteoporöz tedavisi için kullanılan ilaçlardır. Bisfosfanat kullanımına bağlı çenelerde görülen osteonekroz olguları 2003 yılının sonlarından itibaren hızla artış göstermiştir. 2014 yılında Amerikan Çene Yüz Cerrahisi Derneği tarafından tabloya katılan bazı ilaçlarla tablo ilaç kullanımına bağlı olarak çene kemiklerinde gelişen osteonekroz olarak değişmiştir. Bu derlemenin amacı ilaç kullanımına bağlı olarak çene kemiklerinde gelişen osteonekroz olgularının etiyolojisini, klinik ve radyolojik bulgularını, risk faktörlerini ve farklı tedavi seçeneklerini irdelemektir.

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Cite This Article

YAZICI, T., ŞENTÜRK, M. F., KOÇER, G. (2017). Medication Related Osteonecrosis of The Jaws (Mronj): Review. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 8 - Sayı: 2, 50–57. https://ajindex.com/articles/360375

References (15)

  1. Marx RE. Pamidronate (Aredia) and zoledronate (Zometa) induced avascular necrosis of the jaws: a growing epidemic. J Oral Maxillofac Surg 2003; 61(9): 1115-7
  2. Ruggiero SL, Mehrotra B, Rosenberg TJ, Engroff SL. Osteonecrosis of the jaws associated with the use of bisphosphonates: a review of 63 cases. J Oral Maxillofac Surg 2004; 62(5): 527-34
  3. Ruggiero SL, Dodson TB, Assael LA, Landesberg R, Marx RE, Mehrotra B. American Association of Oral and Maxillofacial Surgeons. American Association of Oral and Maxillofacial Surgeons position paper on bisphosphonaterelated osteonecrosis of the jaw - 2009 update. J Oral Maxillofac Surg 2009; 67(5): 2-12
  4. Ruggiero SL, Dodson TB, Fantasia J, Goodday R, Aghaloo T, Mehrotra B. American Association of Oral and Maxillofacial Surgeons on Medication-Related Osteonecrosis of the Jaw-- 2014 Update. J Oral Maxillofac Surg 2014; 72(10): 1938-56
  5. Reid IR. Anti-resorptive therapies for osteoporosis. Seminars in Cell & Developmental Biology 2008; 19(5): 473-8
  6. Marx RE, editors. Oral & Intravenous BisphosphonateInduced Osteonecrosis of the Jaws. History, Etiology, Prevention, and Treatment. Illinois: 2nd ed, Vol 3, Chicago, Quintessence Publishing Co, Inc; 2007; p: 21-37
  7. Soydan SS, Veziroğlu Şenel F, Araz K. Bisfosfonata bağlı olarak çene kemiklerinde gelişen osteonekrozun patogenezi ve tedavisi. Hacettepe Üni Diş Hek Fak Derg 2009; 33(3): 61-8
  8. Crepin S, Laroche ML, Sarry B, Merle L. Osteoecrosis of the jaws induced by clodronate, an alkylbisphosphonate: case report and literature review. Eur J Clin Pharmacol 2010; 66(6): 547-54
  9. Rogers MJ, Watts DJ, Russell RG. Overview of Bisphosphonates. Cancer 1997; 80(8): 1652-60
  10. Naidu A, Dechow PC, Spears R, Wright JM, Kessler HP, Opperman LA. The effects of bisphosphonates on osteoblasts in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106(1): 5-13
  11. Green JR. Antitumor Effects of Bisphosphonates. Cancer 2003; 97(3): 840-7
  12. Santini D, Gentilucci UV, Vincenzi B Picardi A, Vasaturo F, La Cesa A ve ark. The antineoplastic role of bisphosphonates: from basic research to clinical evidence. Annals of Oncology 2003; 14(10): 1468-76
  13. Diel IJ, Bergner R, Grötz KA. Adverse effects of bisphosphonates: current issues. J Support Oncol, 2007; 5(10): 475-82
  14. Reid IR, Bolland MJ, Grey AB. Is bisphosphonate associated osteonecrosis of the jaw caused by soft tissue toxicity? Bone 2007; 41(3): 318-20
  15. Landesberg R, Cozin M, Cremers S, Woo V, Ko