Menu Expand
Management of Medication-related Osteonecrosis of the Jaw, An Issue of Oral and Maxillofacial Clinics of North America 27-4, E-Book

Management of Medication-related Osteonecrosis of the Jaw, An Issue of Oral and Maxillofacial Clinics of North America 27-4, E-Book

Salvatore L. Ruggiero

(2016)

Additional Information

Book Details

Abstract

Editor Salvatore Ruggiero, DMD, MD and authors review the Diagnosis, Management and Prevention of Medication-related Osteonecrosis of the Jaw. Articles will include: Osteoporosis and bone modulation therapies: indications and outcomes; Antiresorptive therapies for the treatment of malignant osteolytic bone disease; Clinical presentation and staging of antiresorptive agent-induced osteonecrosis of the jaw; Epidemiology and risk factors of antiresorptive agent-induced osteonecrosis of the jaw; Basic science research of antiresorptive agent-induced osteonecrosis of the jaw: an update; Pathophysiology of antiresorptive agent-induced osteonecrosis of the jaw: what we know and what we don’t know; The genetics of osteonecrosis of the jaw; Preventive strategies for patients at risk of antiresorptive agent-induced osteonecrosis of the jaw; Non-operative and operative therapies for treatment of antiresorptive agent-induced osteonecrosis of the jaw; The role of anti-angiogenic therapy in the development of osteonecrosis of the jaw; Antiresorptive therapies: what they are and how do they work, and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Management of MedicationrelatedOsteonecrosis of the Jaw i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Preface\r v
Diagnosis and Staging of Medication-Related Osteonecrosis of the Jaw\r v
Pathophysiology of Osteonecrosis of the Jaws\r v
Medication-Related Osteonecrosis of the Jaw: Basic and Translational Science Updates\r v
The Frequency of Medication-related Osteonecrosis of the Jaw and its Associated Risk Factors\r v
Management of Medication-Related Osteonecrosis of the Jaw\r vi
Preventive Strategies for Patients at Risk of Medication-related Osteonecrosis of the Jaw\r vi
Pharmacogenetics of Bisphosphonate-associated Osteonecrosis of the Jaw\r vi
The Role of Antiangiogenic Therapy in the Development of Osteonecrosis of the Jaw\r vi
Antiresorptive Therapies for Osteoporosis\r vii
Antiresorptive Therapies for the Treatment of Malignant Osteolytic Bone Disease\r vii
Indications and Outcomes of Osteoporosis and Bone Modulation Therapies\r vii
ORAL AND MAXILLOFACIAL SURGERY\rCLINICS OF NORTH AMERICA\r viii
FORTHCOMING ISSUES viii
February 2016 viii
May 2016 viii
August 2016 viii
RECENT ISSUES viii
August 2015 viii
May 2015 viii
February 2015 viii
Preface ix
Diagnosis and Staging of Medication-Related Osteonecrosis of the Jaw 479
Key points 479
INTRODUCTION 479
NOMENCLATURE AND DIAGNOSTIC CRITERIA 479
CLINICAL PRESENTATION 480
IMAGING 481
HISTOPATHOLOGY 482
CLINICAL STAGING 483
SUMMARY 486
REFERENCES 486
Pathophysiology of Osteonecrosis of the Jaws 489
Key points 489
INTRODUCTION 489
PROPOSED HYPOTHESES OF MEDICATION-RELATED OSTEONECROSIS OF THE JAW PATHOPHYSIOLOGY 490
Hypothesis 1: Bone-Remodeling Inhibition 490
Hypothesis 2: Inflammation and Infection 491
Hypothesis 3: Angiogenesis Inhibition 491
Hypothesis 4: Soft Tissue Toxicity 492
Hypothesis 5: Innate or Acquired Immunity Dysfunction 492
SUMMARY 492
REFERENCES 493
Medication-Related Osteonecrosis of the Jaw 497
Key points 497
INTRODUCTION 497
MEDICATION-RELATED OSTEONECROSIS OF THE JAW AT THE CELL LEVEL—BISPHOSPHONATE ACTION ON CELLS AND TISSUE ACCUMULATION 498
ANIMAL MODELS OF MEDICATION-RELATED OSTEONECROSIS OF THE JAW: THE TOOLBOX IS FULL AND READY TO BE PUT TO WORK 500
Rodent Models 502
Large Animal Models 504
WHERE DO WE GO FROM HERE? 505
REFERENCES 506
The Frequency of Medication-related Osteonecrosis of the Jaw and its Associated Risk Factors 509
Key points 509
INTRODUCTION 509
Challenges of Estimating the Frequency of Uncommon Diseases 510
SUMMARY OF FINDINGS 510
RISK FACTORS FOR MEDICATION-RELATED OSTEONECROSIS OF THE JAWS 510
Medication-related Risk Factors 510
Are antiresorptive or antiangiogenic agents risk factors for osteonecrosis of the jaw? 510
Risk for medication-related osteonecrosis of the jaws among patients with cancer 510
Risk for medication-related osteonecrosis of the jaws among patients treated for osteoporosis 512
Local Factors 513
Operative treatment 513
Anatomic factors 513
Concomitant oral disease 514
Demographic and Systemic Factors and Other Medication Factors 514
Genetic Factors 514
SUMMARY 514
REFERENCES 514
Management of Medication-Related Osteonecrosis of the Jaw 517
Key points 517
INTRODUCTION 517
MEDICAL MANAGEMENT 518
Antimicrobials 518
Topical antimicrobials 518
Oral antimicrobials 518
Intravenous antimicrobials 518
Other Medications 518
Pentoxifylline and vitamin E 518
Teriparatide 519
Hyperbaric Oxygen Therapy 519
SURGICAL MANAGEMENT 520
Mandibular Resection 523
Maxilla Resection 523
SUMMARY 523
REFERENCES 523
Preventive Strategies for Patients at Risk of Medication-related Osteonecrosis of the Jaw 527
Key points 527
INTRODUCTION 527
PATIENTS AT RISK 529
Medication Related to Osteonecrosis of the Jaw 529
Bisphosphonates 529
Receptor activator of nuclear factor kappa-B ligand inhibitor 529
Angiogenesis inhibitors 529
PREVENTIVE STRATEGIES BEFORE COMMENCEMENT OF ANTIRESORPTIVES 529
Dental Screening 529
PREVENTIVE STRATEGIES AFTER COMMENCEMENT OF ANTIRESORPTIVES 531
Dentoalveolar Surgery 531
New Risk-reducing Strategies at Time of Extraction 531
Implants 532
Endodontics 533
Periodontics 533
Drug Holiday 533
SUMMARY 534
REFERENCES 534
Pharmacogenetics of Bisphosphonate-associated Osteonecrosis of the Jaw 537
Key points 537
INTRODUCTION 537
PHARMACOGENETICS AND ADVERSE DRUG REACTIONS 538
GENOME-WIDE ASSOCIATION STUDIES ON OSTEONECROSIS OF THE JAW 538
CANDIDATE GENE STUDIES ON OSTEONECROSIS OF THE JAW 539
Replication Candidate Gene Studies 539
Discovery Candidate Gene Studies 542
SUMMARY 544
REFERENCES 544
The Role of Antiangiogenic Therapy in the Development of Osteonecrosis of the Jaw 547
Key points 547
INTRODUCTION 547
MEDICATION-RELATED OSTEONECROSIS OF THE JAWS IN PATIENTS RECEIVING THE VASCULAR ENDOTHELIAL GROWTH FACTOR INHIBITOR BEVACIZ ... 548
MEDICATION-RELATED OSTEONECROSIS OF THE JAWS IN PATIENTS RECEIVING TYROSINE KINASE INHIBITORS, WITH AND WITHOUT ANTIRESORPT ... 550
MEDICATION-RELATED OSTEONECROSIS OF THE JAWS IN PATIENTS RECEIVING MAMMALIAN TARGET OF RAPAMYCIN INHIBITORS WITH OR WITHOUT ... 551
MEDICATION-RELATED OSTEONECROSIS OF THE JAWS AND IMMUNOMODULATORY AGENTS WITH AN ANTIANGIOGENIC PROFILE 552
SUMMARY 552
REFERENCES 552
Antiresorptive Therapies for Osteoporosis 555
Key points 555
REFERENCES 559
Antiresorptive Therapies for the Treatment of Malignant Osteolytic Bone Disease 561
Key points 561
INTRODUCTION 561
PAMIDRONATE 562
ZOLEDRONIC ACID (ZOLEDRONATE) 563
DENOSUMAB 564
SUMMARY 565
REFERENCES 565
Indications and Outcomes of Osteoporosis and Bone Modulation Therapies 567
Key points 567
REFERENCES 571
Index 573