Pulpal Disease Arising from Medication-related Osteonecrosis of the Jaw: A Case Report.
J Endod
; 46(8): 1149-1154, 2020 Aug.
Article
en En
| MEDLINE
| ID: mdl-32437788
ABSTRACT
Although bisphosphonates are widely used to treat conditions such as osteoporosis, they may cause osteonecrosis of the jaw. We treated a patient with no history of tooth extraction or other surgical treatment who developed medication-related osteonecrosis of the jaw (MRONJ) with secondary pulpal disease. A 79-year-old woman presented with purulent discharge from the gum at the incisor region. She had been using bisphosphonates for 9 years. Tooth #6 had undertaken root canal treatment at a general practice. All teeth other than tooth #6 reacted to electric pulp testing. Computed tomographic imaging revealed signs suggestive of necrotic bone, and MRONJ was diagnosed. Teeth #7 and #8, which had initially exhibited vital reactions, also subsequently ceased to react to thermal and electric pulp testing. Root canal treatment was performed on teeth #6-8, and their condition was monitored. Computed tomographic imaging at 9 months after the first presentation revealed that the bone defect had greatly enlarged with separation of the necrotic bone; therefore, excision of the necrotic bone and curettage were performed in the department of oral and maxillofacial surgery. The loss of pulp reaction in teeth that had exhibited a vital reaction at the first presentation was considered to indicate that teeth #6-8 had developed dental pulp pathosis as a result of MRONJ.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Difosfonatos
/
Conservadores de la Densidad Ósea
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Osteonecrosis de los Maxilares Asociada a Difosfonatos
Límite:
Aged
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Female
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Humans
Idioma:
En
Año:
2020
Tipo del documento:
Article