Diseases having an influence on inhibition of angiogenesis as risk factors of osteonecrosis of the jaw
Paek Seung-Jae, 박원종, 신호성, 최문기, 권경환, 최은주,
소속 상세정보
( Paek Seung-Jae ) - Wonkwang University Dental Hospital Department of Oral and Maxillofacial Surgery
박원종 ( Park Won-Jong ) - Wonkwang University College of Dentistry Department of Oral and Maxillofacial Surgery
신호성 ( Shin Ho-Sung ) - Wonkwang University College of Dentistry Departments of Society Dentistry
최문기 ( Choi Moon-Gi ) - Wonkwang University College of Dentistry Department of Oral and Maxillofacial Surgery
권경환 ( Kwon Kyung-Hwan ) - Wonkwang University College of Dentistry Department of Oral and Maxillofacial Surgery
최은주 ( Choi Eun-Joo ) - Wonkwang University College of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 0355620160420050271
Abstract
Objectives: The objective of this study was to retrospectively investigate the association of diseases having an influence on inhibition of angiogenesis such as hypertension, diabetes mellitus type II, hypercholesterolemia, and rheumatoid arthritis (RA) with the development of osteonecrosis of the jaws.
Materials and Methods: The 135 patients were allocated into 4 groups of bisphosphonate-related osteonecrosis of the jaw (BRONJ) group (1A); non-BRONJ group (1B); osteonecrosis of the jaw (ONJ) group (2A); and control group (2B), according to histologic results and use of bisphosphonate. This retrospective study was conducted with patients who were treated in one institute from 2012 to 2013. Fisher’s exact test and logistic regression analysis were used to analyze the odds ratios of diseases having an influence on inhibition of angiogenesis for development of ONJ.
Results: The effects of diabetes and hypertension were not statistically significant on development of ONJ. When not considering bisphosphonate use, RA exhibited a high odds ratio of 3.23 (P=0.094), while hyperlipidemia showed an odds ratio of 2.10 (P=0.144) for development of ONJ. More than one disease that had an influence on inhibition of angiogenesis showed a statistically significant odds ratio of 2.54 (P=0.012) for development of ONJ.
Conclusion: Patients without diseases having an influence on inhibition of angiogenesis were at less risk for developing ONJ.
키워드
Bisphosphonate-associated osteonecrosis of the jaw; Angiogenesis inhibitors; Rheumatoid arthritis; Hypercholesterolemia
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