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Article: Volume 43 Number 10 Page 939 - December 2016

  Dent Update 2016; 43: 939-942  Read article

Prosthodontics:  Conservative Prosthetic Rehabilitation of Medication-Related Osteonecrosis of the Jaw (MRONJ)

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Abstract: 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.

Author notes: Alexandra Johanna Leven, BDS, MFDS RCSEd, Specialty Registrar in Restorative Dentistry (a.leven@nhs.net) and Antony J Preston, BDS, PhD, FDS, FDS(Rest Dent) RCS(Eng), FHEA, Honorary Consultant in Restorative Dentistry, Liverpool University Dental Hospital, Pembroke Place, Liverpool L3 5PS, UK.

Objective: To provide insight into a conservative prosthetic option for the management of BRONJ.