Article (Scientific journals)
Osteonecrosis of the jaw and bisphosphonate treatment for osteoporosis.
Rizzoli, Rene; Burlet, Nansa; Cahall, David et al.
2008In BONE, 42 (5), p. 841-7
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Keywords :
Diphosphonates/adverse effects/therapeutic use; Humans; Jaw Diseases/chemically induced/therapy; Osteitis Deformans/drug therapy; Osteonecrosis/chemically induced/therapy; Osteoporosis/drug therapy; Risk Factors
Abstract :
[en] A potential side effect associated with bisphosphonates, a class of drugs used in the treatment of osteoporosis, Paget's disease and metastatic bone disease, is osteonecrosis of the jaw (ONJ). The incidence of ONJ in the general population is unknown; this rare condition also may occur in patients not receiving bisphosphonates. Case reports have discussed ONJ development in patients with multiple myeloma or metastatic breast cancer receiving bisphosphonates as palliation for bone metastases. These patients are also receiving chemotherapeutic agents that might impair the immune system and affect angiogenesis. The incidence or prevalence of ONJ in patients taking bisphosphonates for osteoporosis seems to be very rare. No causative relationship has been unequivocally demonstrated between ONJ and bisphosphonate therapy. A majority of ONJ occurs after tooth extraction. Furthermore, the underlying risk of developing ONJ may be increased in osteoporotic patients by comorbid diseases. Treatment for ONJ is generally conservative.
Disciplines :
General & internal medicine
Author, co-author :
Rizzoli, Rene
Burlet, Nansa
Cahall, David
Delmas, Pierre D
Eriksen, Erik Fink
Felsenberg, Dieter
Grbic, John
Jontell, Mats
Landesberg, Regina
Laslop, Andrea
Wollenhaupt, Martina
Papapoulos, Socrates
Sezer, Orhan
Sprafka, Michael
Reginster, Jean-Yves  ;  Université de Liège - ULiège > Département des sciences de la santé publique > Epidémiologie et santé publique
More authors (5 more) Less
Language :
English
Title :
Osteonecrosis of the jaw and bisphosphonate treatment for osteoporosis.
Publication date :
2008
Journal title :
BONE
ISSN :
8756-3282
eISSN :
1873-2763
Publisher :
Elsevier Science, New York, United States - New York
Volume :
42
Issue :
5
Pages :
841-7
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 28 August 2009

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