Xu L C, Li Y F
Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Chengdu 610041, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2020 Jul 9;55(7):509-514. doi: 10.3760/cma.j.cn112144-20191021-00376.
Medication-related osteonecrosis of the jaw (MRONJ) is a severe complication of anti-resorption drugs and anti-angiogenesis drugs. Its mechanism is still unclear, which may be related to bone remodeling inhibition, angiogenesis inhibition, inflammation, etc. The main clinical symptoms are continuous infection, recurrent swelling and pain and impacting the patients' quality of life. Because of its serious symptoms and unclear treatment, MRONJ has attracted wide attention. Now there are many researches on the treatment and prevention of MRONJ. The treatment includes conservative treatment and surgical treatment. There is no clear evidence of the effectiveness of existing methods of prevention and treatment of MRONJ, and lacking the unified and accepted standard methods of prevention and treatment. In this article, current researches of the prevention and treatment of MRONJ are reviewed, including the mechanism of the methods.
药物相关性颌骨坏死(MRONJ)是抗骨吸收药物和抗血管生成药物的一种严重并发症。其机制仍不清楚,可能与骨重塑抑制、血管生成抑制、炎症等有关。主要临床症状为持续感染、反复肿胀和疼痛,影响患者生活质量。由于其症状严重且治疗方法不明确,MRONJ已引起广泛关注。目前有许多关于MRONJ治疗和预防的研究。治疗包括保守治疗和手术治疗。现有MRONJ防治方法的有效性尚无明确证据,且缺乏统一且被认可的防治标准方法。本文综述了目前MRONJ防治的研究,包括各方法的机制。