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Article: Osteonecrosis of the Jaws: An Update and Review of Literature.

Kalita, Flora / Gupta, Durga Shanker / Gehlot, Neelima / Mitra, Subhajit / Singh, Snigdha / Pillai, Sooraj S

Journal of maxillofacial and oral surgery

2023  Volume 22, Issue 2, Page(s) 344–351

Abstract: Aim: To provide a concise review on risk factors, stages, pathophysiology, prevention and possible treatment options for both MRONJ and ORN individually.: Methods: The review was conducted according to the 'Preferred Reporting Items for Systematic ... ...

Abstract Aim: To provide a concise review on risk factors, stages, pathophysiology, prevention and possible treatment options for both MRONJ and ORN individually.
Methods: The review was conducted according to the 'Preferred Reporting Items for Systematic Reviews and Meta-Analyses' (PRISMA) guidelines. A comprehensive search of the PUBMED, Ebsco, SCOPUS, WEB OF SCIENCE and NDH for articles published up until 2021 was performed. After screening and full text analyses, 44 studies were included in this review. Definition, risk factors, etiology, symptoms, stages, pathophysiology, prevention and possible management options were explored and highlighted in this article.
Results: Three studies described osteonecrosis of jaw (ONJ) in general, 15 studies described ONJ associated with radiotherapy and 26 studies described ONJ associated with medications. Both the two conditions (ORN) and (MRONJ) have relatively similar clinical presentations clearing the fact that a resemblance in clinical presentations does not necessarily denote a similar pathophysiology.
Conclusion: However, various advancements have been made in the control and management of ONJ, but until and unless need for high tumoricidal doses exists, ONJ will certainly continue to remain as a clinical challenge demanding satisfactory treatment to improve the quality of life of the patient.
Language English
Publishing date 2023-03-05
Publishing country India
Document type Journal Article ; Review
ZDB-ID 2502352-4
ISSN 0974-942X ; 0972-8279
ISSN (online) 0974-942X
ISSN 0972-8279
DOI 10.1007/s12663-023-01876-w
Database MEDical Literature Analysis and Retrieval System OnLINE

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