Osteonecrosis de los maxilares asociado a medicamentos en pacientes con cancer. Serie de casos y Revisión actual de la bibliografía .

Abstract

Currently, a large proportion of cancer patients are treated with bone modifying agents (bma). In this regard, the increase in the prescription of these drugs has lead to concerns in the increment of osteonecrosis of the jaws. This article describes four patients with BMA cancer treatments requested dental evaluation at our institution due to pain and swelling of the mandibular bone after tooth extraction, tooth loss, or unknown risk factor. Oral and radiographic evaluation reveals MRONJ at different clinical stages according to the American Association of Oral and Maxillofacial Surgeons (AAOMS) classification. Some patients underwent abscess drainage, oral cleaning and antibiotic therapy with complete recovery. Follow-up achieved treatment success in all patients. That is why we emphasize the importance of prompt establishment of appropriate treatment and emphasize the avoidance of dental procedures during BMA therapy.