[Bisphosphonate-associated osteonecrosis of the jaw].

Abstract:

:Intravenous application of bisphosphonates (BP) represents an established therapeutic strategy of tumor-associated bone metastasis and severe hypercalcemia. Patients can develop osteonecrosis of the jaw (ONJ) as a side effect of this therapy. The diagnosis of ONJ is based on three criteria: a) patients have been or are currently treated with BP; b) a deficiency in wound healing, which is in 70-80% associated with necrotic alveolar bone, characteristically exposed, is present for at least 8 weeks and c) no radiotherapy of the head and neck was performed. The suppression of bone turnover, concomitant with high functional load of the alveolar bone, and the subsequent accumulation of microfractures are considered the main pathologic factors of this disease. The cumulative incidence of ONJ lies approximately between 1 and 10% in oncologic patients, being associated with the antiresorptive potency and the respective molecular structure of the BPs. Patients with multiple myeloma develop ONJ more frequently than patients with other oncological diseases such as metastasizing breast- and prostate cancer, a fact that may also be due to the higher transfusion/injection frequency of BP in these patients. Dental treatment strategies are responsible for the occurrence of ONJ in approximately 80% of cases. Based on a clinical staging, patients can be grouped into three categories and should receive the corresponding treatment regime. Prospective clinical studies are required for a better understanding of etiology and pathogenesis of ONJ to make treatment, risk estimation and prognosis of ONJ more accurate.

journal_name

Wien Klin Wochenschr

authors

Krauth MT,Fügl A,Gruber R

doi

10.1007/s00508-008-1002-9

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

467-76

issue

15-16

eissn

0043-5325

issn

1613-7671

journal_volume

120

pub_type

杂志文章,评审
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    doi:

    authors: Kärcher KH

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    doi:

    authors: Eder A

    更新日期:1994-01-01 00:00:00

  • [Thrombolytic therapy in ischemic infarct].

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  • [Recurrent and relapsing course of borreliosis of the nervous system].

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    authors: Omasits M,Seiser A,Brainin M

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  • [Infrarenal aortic aneurysm: results of surgical treatment].

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    doi:

    authors: Deutsch M,Holzinger C,Krisch B,Magometschnigg H,Fasol R,Zilla P,Schwarz C,Staudacher M

    更新日期:1989-01-20 00:00:00

  • [The prevention of tick-borne encephalitis (author's transl)].

    abstract::Tick-borne encephalitis is one of the most frequently-encountered virus diseases of the central nervous system in Europe. Hence, prophylactic measures for the prevention of tick-borne encephalitis are of particular importance, especially since it is virtually impossible to influence the course of the manifest disease ...

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    doi:

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    更新日期:1976-04-16 00:00:00

  • [Early postoperative infections after liver transplantation--pathogen spectrum and risk factors].

    abstract::Infections occurring during the early postoperative phase after liver transplantation result in a significant rise in morbidity and mortality. The records of 279 orthoptic transplantations performed in 248 patients were analyzed retrospectively. 55.6% of all patients suffered from one or more episodes of bacterial and...

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    doi:

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    doi:

    authors: Hamilton G,Roth E,Mühlbacher F,Funovics J,Piza F,Schindler J,Woloszcuk W,Havel M,Laczkovics A

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  • [Clinical efficacy and nephrotoxicity of gentamicin in single-dose parenteral administration of total individually adapted daily dosage].

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    pub_type: 杂志文章

    doi:

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    doi:

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    authors: Neundörfer B,Niemöller K

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  • [Lyme disease--another tick-borne disease in Austria].

    abstract::Infection with tick-borne spirochetes (e.g. Borrelia burgdorferi) may lead to the development of erythema chronicum migrans, acrodermatitis atrophicans, meningopolyneuritis Bannwarth, and a special type of reactive arthritis named Lyme disease after the American endemic area. Since these diseases occur also in Austria...

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    authors: Hruby K,Lenz K,Moser CD,Bachner J,Korninger C

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  • Acupuncture is effective in improving functional communication in post-stroke aphasia : A systematic review and meta-analysis of randomized controlled trials.

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  • [On the topic of do not resuscitate (DNR) orders on intensive care units: an evaluation of the present status on intensive care units of the Innsbruck University clinics].

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    authors: Fries D,Kofler A,Hackl J,Schwamberger H,Klingler A,Antretter V,Schobersberger W

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  • [Euthanasia--limits of therapy in oncology. From the viewpoint of the attorney].

    abstract::Confidence is the major prerequisite for a doctor to be able to help his seriously ill patient. The patient's expectations of this confidence are: the doctor will not act without the patient's consent and the doctor will not undertake any measure to shorten the patient's life. The patient is strengthened in this confi...

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    doi:

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  • Assessment of left atrial volume and function in patients with psoriasis by using real time three-dimensional echocardiography.

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  • [Malformations and abnormality of the sex ration after hormone treatment in mice (author's transl)].

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    pub_type: 杂志文章

    doi:

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  • [Value and significance of obstetric monitoring methods].

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    doi:

    authors: Schröck A

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    doi:

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  • [Operative treatment of prostatic adenoma (author's transl)].

    abstract::The indications for operative treatment of prostatic adenomas are outlined. The three operative techniques (suprapubic adenomectomy, resection and cryosurgery) should not be considered rival procedures, but complementary methods of therapy. The postoperative mortality dropped from 5.64% in the years 1957-1967 to 1.01%...

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    doi:

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  • Influences of hydrocortisone therapy on arginine vasopressin plasma levels in septic shock.

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  • [Steroid receptor levels in human breast carcinomas in relation to serum hormone levels in postmenopausal patients (author's transl)].

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    doi:

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    pub_type: 杂志文章

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