J Korean Assoc Oral Maxillofac Surg.  2016 Jun;42(3):157-161. 10.5125/jkaoms.2016.42.3.157.

Dental implant treatment after healing of bisphosphonate-related osteonecrosis of the jaw (BRONJ) in the same region: a case report

• Kim JW
• Baik J
• Jeon JH

• KMID: 2309258
• DOI: http://doi.org/10.5125/jkaoms.2016.42.3.157

Abstract

Although pathophysiology, incidence, and factors associated with the development of bisphosphonate-related osteonecrosis of the jaw (BRONJ) and management strategies for patients treated with bisphosphonates or patients with BRONJ are well-established, few guidelines or recommendations are available for patients with a history of successfully healed BRONJ. We present a case of successful dental implant treatment after healing of BRONJ in the same region of the jaw, and speculate that implant placement is possible after healing of BRONJ surgery in select cases.

Keyword

Reimplantation; Dental implants; Bisphosphonate-associated osteonecrosis of the jaw; Osteonecrosis; Bisphosphonates

MeSH Terms

Bisphosphonate-Associated Osteonecrosis of the Jaw*
Dental Implants*
Diphosphonates
Humans
Incidence
Jaw
Osteonecrosis
Replantation
Dental Implants
Diphosphonates

Figure

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  Fig. 1 Intraoral photograph (A) and panoramic radiograph (B) at the first visit (March 2013).

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  Fig. 2 Intraoral photograph during surgery (May 2013).

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  Fig. 3 Implant removal and conventional bridge prosthesis was rehabilitated.

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  Fig. 4 Intraoral photograph of the necrotic bone exposure in the upper left molar area.

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  Fig. 5 Panoramic radiograph (A) and intraoral photograph (B) before re-implantation (October 2014).

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  Fig. 6 Panoramic radiograph after re-implantation.

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  Fig. 7 (A, B) Intraoral photographs after loading at 4 months (July 2015).

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