The Frequency of Medication-related Osteonecrosis of the Jaw and its Associated Risk Factors

被引:69
作者
Dodson, Thomas B. [1 ]
机构
[1] Univ Washington, Sch Dent, Dept Oral & Maxillofacial Surg, Seattle, WA 98195 USA
关键词
Medication-related osteonecrosis of the jaws; Frequency; Risk factors; Zolendronate; Oral bisphosphonates; Antiresorptive medications; Antiangiogenic agents; BISPHOSPHONATE-INDUCED OSTEONECROSIS; ZOLEDRONIC ACID; BREAST-CANCER; BONE METASTASES; DENOSUMAB EXPOSURE; MULTIPLE-MYELOMA; TOOTH EXTRACTION; OPEN-LABEL; THERAPY; OUTCOMES;
D O I
10.1016/j.coms.2015.06.003
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This article provides the best current frequency estimate of medication-related osteonecrosis of the jaws (MRONJ) and identifies factors associated with the risk of developing osteonecrosis of the jaw (ONJ) among patients exposed to relevant medications (ie, antiresorptive or antiangiogenic agents). MRONJ is a rare but serious complication of cancer treatment or osteoporosis management. This review confirms that antiresorptive medications such as oral or intravenous bisphosphonates and denosumab are the most common risk factors for developing ONJ. The risk of MRONJ is greater in patients with cancer than in those receiving antiresorptive treatments for osteoporosis by a factor of 10.
引用
收藏
页码:509 / +
页数:10
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