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与抗吸收治疗相关的颌骨骨坏死(ONJ)

[Osteonecrosis of the jaws (ONJ) associated to antiresorptive treatment].

作者信息

Larsson Wexell Cecilia, Kjellman Anders, Akre Olof

机构信息

Vastra Gotalandsregion - Avd. för käkkirurgi SÄS, Borås, Sweden - Avd. för käkkirurgi Borås, Sweden.

Karolinska Universitetssjukhuset Urologiska kliniken - Stockholm, Sweden Karolinska Universitetssjukhuset Urologiska kliniken - Stockholm, Sweden.

出版信息

Lakartidningen. 2018 May 25;115:E394.

Abstract

Osteonecrosis of the jaws (ONJ) has been associated to antiresorptive treatment and is an increasing problem all over the world. ONJ is a severe adverse effect of antiresorptive treatment with bisphosphonate and denosumab used for treatment of osteoporosis, metastases from certain malignant conditions and as an adjuvant treatment in postmenopausal women with breast cancer, and of treatment with certain chemotherapeutic drugs. In this paper the epidemiology, symptoms, diagnostic features, clinical findings, and treatment are reviewed. Guidelines are presented for dental treatment, surgery and referral of patients on antiresorptive treatment.

摘要

颌骨骨坏死(ONJ)与抗吸收治疗有关,并且在全球范围内是一个日益严重的问题。ONJ是用于治疗骨质疏松症、某些恶性疾病转移以及作为绝经后乳腺癌女性辅助治疗的双膦酸盐和地诺单抗抗吸收治疗以及某些化疗药物治疗的严重不良反应。本文对其流行病学、症状、诊断特征、临床发现及治疗进行了综述。还给出了针对接受抗吸收治疗患者的牙科治疗、手术及转诊的指南。

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