Infection and medication-related osteonecrosis of the jaw.

Abstract:

:Medication-related osteonecrosis of the jaw (MRONJ), although initially believed to be exclusively associated with bisphosphonates, has been implicated in recent reports with additional drugs, especially the bone antiresorptive denosumab. The pathophysiology has not been fully elucidated, and no causal association between bone antiresorptive regimens and MRONJ has yet been established. However, reduced bone turnover and infection, an almost universal finding, are thought to be central to the pathogenesis of MRONJ. Both bisphosphonates and denosumab, through different pathways of action, significantly reduce the rate of bone turnover and potentially reduce the efficacy of the host defense against infection. Recent evidence questions the simplified etiology of low bone turnover causing MRONJ and offers evidence on the prominent role of infection instead. The management of MRONJ remains a significant clinical challenge, with little progress having been made on treatment. The aim of this article is to explore the current theories on the etiology of MRONJ and to emphasize the importance of infection in the development of this devastating pathology.

journal_name

J Dent Res

authors

Katsarelis H,Shah NP,Dhariwal DK,Pazianas M

doi

10.1177/0022034515572021

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

534-9

issue

4

eissn

0022-0345

issn

1544-0591

pii

0022034515572021

journal_volume

94

pub_type

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