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Implant failure associated with oral bisphosphonate-related osteonecrosis of the jaw
Eun-Young Shin1, Young-Hyuk Kwon, Yeek Herr
1Department of Periodontology, Kyung Hee University School of Dentistry, Seoul, Korea.
Purpose:
The aim of this study is to report a case of oral bisphosphonate-related osteonecrosis of the jaw (BRONJ) resulting in implant failure.
Methods:
A patient suspected of having BRONJ was referred to the Department of Periodontology, Kyung Hee University School of Dentistry for the evaluation and treatment of exposed bone around implants.
Results:
The patient, who had been taking oral bisphosphonates (BPs) for about a year, was successfully treated with systemic antibiotics, chlorhexidine mouth rinse, explantation, and surgical debridement of necrotic bone.
Conclusions:
The results of this case suggest that a patient taking BPs orally should be treated cautiously. Appropriate management including cessation of BPs and respective dental treatment may reduce the development of BRONJ.