16 research outputs found

    Masud T: A current update on osteonecrosis of the jaw and bisphosphonates. Dent Update 38

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    Abstract: Bisphosphonates are effective drugs used to treat important medical conditions affecting the skeleton, such as malignancy and osteoporosis. Bisphosphonate-associated osteonecrosis of the jaw (BONJ) is a rare but painful condition that can affect quality of life. Healthcare professionals need to be aware of this potential side-effect of bisphosphonates, as well as ways to minimize its occurrence. Clinical Relevance: This review addresses the definitions of BONJ, differential diagnosis and staging, prevention and also discusses a recently recognized non-exposed variant of BONJ. The possibility that a recently introduced anti-resorptive agent, denosumab, which is not a bisphosphonate, may cause jaw osteonecrosis is also discussed. Dent Update 2011; 38: 672-67

    A cautious approach

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    Denosumab, an alternative to bisphosphonates but also associated with osteonecrosis of the jaw – what is the risk?

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    Most dental professionals will have, or will soon, encounter patients prescribed this novel alternative antiresorptive drug to bisphosphonates, denosumab (Prolia®, Xgeva®). Denosumab is licensed in the UK for the prevention of osteoporotic fractures in postmenopausal women and the prevention of skeletal-related events (SRE) in adults with bone metastases. The presence of osteonecrosis of the jaw in patients receiving non-bisphosphonate antiresorptives has led to the introduction of the term antiresorptive-related osteonecrosis of the jaw or ARONJ. This paper discusses the basic physiology of bone remodelling, the pharmacology of bisphosphonates and denosumab, and the risk of ARONJ
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