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1.
Orv Hetil ; 155(49): 1960-6, 2014 Dec 07.
Artículo en Húngaro | MEDLINE | ID: mdl-25434516

RESUMEN

Owing to the increased life expectancy, the incidence of rheumatoid disorders and oncologic cases with bone metastasis has dramatically increased. Despite the beneficial effects of the applied antiresorptive and antiangiogenic drugs (e.g. bisphosphonates), serious side effects such as jaw osteonecrosis may also develop. The aim of the authors was to summarize present knowledge about the possibilities of prevention and treatment in medication-related osteonecrosis of the jaw. Based on literature data, currently used detection methods for medication-related osteonecrosis of the jaw (including their advantages and limitations) are summarized. In addition, novel trends of surgical and adjuvant therapeutic approaches are also reviewed. The authors conclude that possibilities of prevention and efficacy of therapeutic interventions in this disorder are still limited possibly due to an incomplete knowledge of the underlying pathomechanism. An interdisciplinary cooperation for prevention and attentive monitoring in order to decrease the incidence of iatrogenic oral and maxillofacial complications seems to be particularly important.


Asunto(s)
Osteonecrosis de los Maxilares Asociada a Difosfonatos/diagnóstico , Osteonecrosis de los Maxilares Asociada a Difosfonatos/terapia , Conservadores de la Densidad Ósea/uso terapéutico , Analgésicos/administración & dosificación , Antibacterianos/administración & dosificación , Biomarcadores/sangre , Biomarcadores/metabolismo , Osteonecrosis de los Maxilares Asociada a Difosfonatos/metabolismo , Osteonecrosis de los Maxilares Asociada a Difosfonatos/patología , Osteonecrosis de los Maxilares Asociada a Difosfonatos/prevención & control , Neoplasias Óseas/complicaciones , Neoplasias Óseas/secundario , Desbridamiento , Diagnóstico Precoz , Humanos , Terapia por Láser , Terapia por Luz de Baja Intensidad , Ozono/uso terapéutico , Pentoxifilina/uso terapéutico , Guías de Práctica Clínica como Asunto , Medición de Riesgo , Factores de Riesgo , Saliva , Índice de Severidad de la Enfermedad , Teriparatido/uso terapéutico , alfa-Tocoferol/uso terapéutico
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