Manejo odontológico de las extracciones dentales en el paciente que recibe terapia con bifosfonatos. Revisión bibliográfica
The Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ) is a serious pathological condition associated with prolonged use of these drugs; this complication does not respond favorably to normally used medical treatments and can appear spontaneously, or more frequently, after surgical procedures...
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| Formato: | bachelorThesis |
| Idioma: | spa |
| Publicado em: |
2022
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| Assuntos: | |
| Acesso em linha: | https://dspace.unl.edu.ec/jspui/handle/123456789/24846 |
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Adicionar Tag | Resumo: | The Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ) is a serious pathological condition associated with prolonged use of these drugs; this complication does not respond favorably to normally used medical treatments and can appear spontaneously, or more frequently, after surgical procedures in the oral cavity such as dental extractions. For this reason, this research aims to analyze the consequences of bisphosphonate therapy in patients who require extractions, detail the preventive measures, procedures, or techniques to avoid the development of this condition, and finally, identify the etiopathogenesis of the disease and the associated risk factors. For the present research, 47 documentary sources in English, Spanish and Portuguese published between the years 2011 and 2021 were taken into account, which were selected through a search process in databases and magazines such as Pubmed, Medline, Elsevier, Scielo, and Dialnet; the information was organized and systematized in data tables for its processing and thus the remarkable results obtained were that BIONJ commonly develops after an extraction in patients that receive bisphosphonates, and that the application of preventive measures reduces the risk of suffering this condition in certain cases; concluding that osteonecrosis is the main consequence associated with the consumption of bisphosphonates in patients who require dental extractions, the latter being the most prevalent local risk factor; in addition, it should be emphasized that the concomitant use of chlorhexidine mouthwashes and pre/post-surgical antibiotic therapy are the most widely used preventive measures to avoid its development |
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