Leven Alexandra Johanna, Preston Antony J
Dent Update. 2016 Dec;43(10):939-42. doi: 10.12968/denu.2016.43.10.939.
Osteonecrosis of the jaw associated with bisphosphonates and other medications is a growing problem facing dentists. It can have a significant and debilitating impact upon patients. Various treatment options ranging from surgical intervention to management with antibiotics and analgesics have been proposed. This article presents one method of conservative treatment and prosthetic rehabilitation in a patient with ongoing BRONJ of the maxilla unsuitable for surgical management. Clinical relevance: Dentists need to be able to identify patients who are at risk of developing BRONJ and have an awareness of the appropriate management as well as potential oral rehabilitation options for these patients.
与双膦酸盐及其他药物相关的颌骨骨坏死是牙医面临的一个日益严重的问题。它会对患者产生重大且使人衰弱的影响。已经提出了从手术干预到使用抗生素和镇痛药进行治疗等各种治疗方案。本文介绍了一名上颌骨患有持续性双膦酸盐相关颌骨坏死且不适合手术治疗的患者的保守治疗和修复性康复的一种方法。临床意义:牙医需要能够识别有发生双膦酸盐相关颌骨坏死风险的患者,并了解对这些患者的适当治疗以及潜在的口腔修复方案。