Onkologie. 2009:3(1):62-65

Prevention of jaw osteonecrosis prior to oncological therapy

Radomír Hodan1, Maryla Mendreková2, Josef Gruna2, Jakub Cvek3
1 Klinika ústní, čelistní a obličejové chirurgie, FN Ostrava
2 Onkologické centrum J. G. Mendela, Nový Jičín
3 Klinika radiační onkologie FN Ostrava

Osteonecrosis of the jaw is an uncommon but feared complication of long-term therapy with bisphosphonates in patients with tumoral

metastases to the skeleton.

Osteoradionecrosis of the lower jaw arises as a serious late complication related to radiotherapy in the oral cavity. These complications

significantly interfere with the quality of life and food intake. The mechanism of origin of osteonecrosis is not well understood but

adherence to preventive measures prior to and during the therapy with bisphosphonates or radiotherapy in the oral cavity would most

likely result in a reduced incidence of this unpleasant complication.

Keywords: osteonecrosis, osteoradionecrosis, bisphosphonates.

Published: March 1, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Hodan R, Mendreková M, Gruna J, Cvek J. Prevention of jaw osteonecrosis prior to oncological therapy. Onkologie. 2009;3(1):62-65.
Download citation

References

  1. Rizzoli R, et al. Osteonecrosis of the jaw and bisphosphonate treatment for osteoporosis, Bone, 2008; 42: 841-847. Go to original source... Go to PubMed...
  2. Lyons A, Ghazali N. Osteoradionecrosis of the jaws: current understanding of its pathophysiology and treatment, British Journal of Oral and Maxillofacial Surgery 2008; 46: 653-660. Go to original source... Go to PubMed...
  3. Carol D Morris, Thomas A Einhorn. Bisphosphonates in orthopaedic surgery. Journal of Bone and Joint Surgery; Jul 2005; 87, 7: ProQuest Medical Library, pg. 1609. Go to original source... Go to PubMed...
  4. JH Lenz, et al. Does avascular necrosis of the jaws in cancer patients only occur following treatment with bisphosphonates? Journal of Cranio-Maxillofacial Surgery, 2005; 33(6): 395-403. Go to original source... Go to PubMed...
  5. Schwartz HC. Osteonecrosis of the jaws: a complication of cancer chemotherapy. Head Neck Surg 1982; 4: 251-253. Go to original source... Go to PubMed...
  6. Wood J, Bonjean K, Ruetz S, et al. Novel antiangiogenic effects of the bisphosphonate compound zoledronic acid. J Pharmacol Exp Ther 2002; 302: 1055-1061. Go to original source... Go to PubMed...
  7. Ruggiero SL, et al. Osteonecrosis of the jaws associated with the use of bisphosphonates: a review of 63 cases. J Oral Maxillofac Surg 2004; 62: 527-534. Go to original source... Go to PubMed...
  8. Reid IR, et al. Is bisphosphonate-associated osteonecrosis of the jaw caused by soft tissue toxicity? Bone 2007; 41: 318-320. Go to original source... Go to PubMed...
  9. Hoff AO, et al. Osteonecrosis of the jaw in patients receiving intravenous bisphosphonates. J Bone Miner Res 2005; 20: S55.
  10. Bornstein MM, et al. Bisphosphonat-assoziierte Osteonekrose der Maxilla, Schweiz Monatsschr Zahnmed, 10/2006; Vol 116: 1035-1042. Go to PubMed...
  11. Khamaisi M, et al. Possible association between diabetes and bisphosphonate-related jaw osteonecrosis. J Clin Endocrinol Metab 2007; 92: 1172-1175. Go to original source... Go to PubMed...
  12. Woo SB, Hellstein JW, Kalmar JR. Narrative [corrected] review: bisphosphonates and osteonecrosis of the jaws. Ann InternMed 2006; 144: 753-761. Go to original source... Go to PubMed...
  13. Felsenberg D, et al. Kiefernekrosen nach hoch dosierter Bisphosphonattherapie. Deutsches Ärzteblatt 2006; 103: A3078-3080.
  14. US Food and Drug Administration. MedWatch. The FDA Safety Information and Adverse Event Reporting Program. Zometa (zoledronic acid) injection. www.fda.gov/medwatch/SAFETY/2004/safety04.htm#zometa. Accessed March 2, 2005.
  15. American Association of Oral and Maxillofacial Surgeons, editor. Position paper on bisphosphonate-related osteonecrosis of the jaws. Rosemont, IL: American Association of Oral and Maxillofacial Surgeons; 2006.




Oncology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.