경구 비스포스포네이트 복용한 환자에서 임플란트 주위로 발생한 악골 괴사증: 증례 보고
Bisphosphonate-related osteonecrosis of the jaw around dental implant in patient with oral bisphosphonate: case report
박준형, 오수석, 홍종락, 김창수, 팽준영,
소속 상세정보
박준형 ( Park Joon-Hyung ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
오수석 ( Oh Su-Seok ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
홍종락 ( Hong Jong-Rak ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
김창수 ( Kim Chang-Soo ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
팽준영 ( Paeng Jun-Young ) - 성균관대학교 의과대학 강북삼성병원 구강악안면외과
KMID : 1025720120310020061
Abstract
Osteonecrosis of the jaw is a serious complication among patients receiving bisphosphonate therapy. Recently, numerous cares of BRONJ have been reported because of increasing the olders, however methods for early detection and identification of patients at risk for osteonecrosis of the jaw need further investigation. Most of reports state that tooth extraction is the most commom event for triggering factor of BRONJ. Information about association of dental implant with the development of BRONJ in patients with oral bisphosphonate therapy is scarce. A 76 years-old woman was referred by local dental clinic for gingiva inflammation, pus discharge, necrotic bone were observed in Rt. mandible after dental implant installation. We perfomed surgical procedure as segmental osteotomy, partial mandibulectomy under general anesthesia . In this paper, we report the treatment method and prognosis of BRONJ in patient receiving dental implant with the review of literature.
키워드
BRONJ; Osteonecrosis; Implant; Pathologic fracture
원문 및 링크아웃 정보
등재저널 정보