Treatment of medication-related osteonecrosis of the jaw around the dental implant in a patient with multiple myeloma: a case report
윤민영, 이영재, 김준영,
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윤민영 ( Youn Min-Yeong ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
이영재 ( Yee Young-Jae ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
김준영 ( Kim Jun-Young ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
KMID : 1025720200390040043
Abstract
The management of medication-related osteonecrosis of the jaw (MRONJ) around a dental implant is difficult. Conservative treatment is recommended; however, patients do not exhibit improvement. Thus, several adjunctive therapies have been introduced. Herein, we describe a case of MRONJ around a dental implant in a 68-year-old man. Owing to the patient’s history of multiple myeloma, treatment with teriparatide was contraindicated. We achieved successful results with hyperbaric oxygen therapy and surgical intervention. Clinicians treating patients with MRONJ should conduct a thorough examination before selecting the modalities of adjuvant therapy, thereby establishing a solid treatment strategy.
키워드
Osteonecrosis of the jaw; Dental implant; Multiple myeloma; Bisphosphonate
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