I have seen and treated many cases of drug-induced osteonecrosis of the jaw or DIONJ. This was formerly called bisphosphonate related osteonecrosis of the jaws (BRONJ) but now other drugs have been shown to cause it as well. In this disorder there is bone exposure, bone death, and pain. It typically occurs in the areas of the jaws where there are teeth. It may not occur until after a dental procedure such as tooth extraction or oral surgery.

Difficult Surgical Challenges to Overcome

A recent study in the Journal of Oral and Maxillofacial Surgery (J Oral maxillofac Surg 70:2501-2507, 2012), looked at a review of cases where surgical treatment was used. These are difficult surgical challenges. My criterion for treatment is related to clinical signs and symptoms.

Drug Removal Is Not an Option Sometiems

In many cases, removal of the drug is not an option as the patient often needs the drug as part of their chemotherapy for proper bone maintenance. Surgical debridement of the dead bone and antibiotic therapy remains the best treatment option in many cases.

Call (262) 634-4646  to schedule a consultation if you are experiencing jaw breakdown due to medicine.

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