New uses for rehabilitation protocol for oral sinus communications in ARONJ patients

J Prosthodont. 2014 Dec;23(8):649-53. doi: 10.1111/jopr.12157. Epub 2014 Jun 20.

Abstract

This report presents a new use for rehabilitation protocol for oral sinus communications in patients with antiresorptive agent-induced osteonecrosis of the jaw. The treatment plan consisted of constructing an atraumatic complete denture with rounded edges, made with nontoxic resin, to prevent any injury to the mucosa and recurrence of the disease. The patient was followed up for 4 years, without any complications, and was socially reintegrated by resuming the normal life he experienced before tooth loss.

Keywords: Antiresorptive agent-induced osteonecrosis of the jaw; bisphosphonate-related osteonecrosis of the jaw; prosthesis; quality of life; rehabilitation.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / therapy
  • Aged
  • Bisphosphonate-Associated Osteonecrosis of the Jaw / complications*
  • Bone Density Conservation Agents / administration & dosage
  • Clinical Protocols
  • Dental Prosthesis Design
  • Denture Design
  • Denture, Complete, Upper*
  • Diphosphonates / administration & dosage
  • Follow-Up Studies
  • Humans
  • Imidazoles / administration & dosage
  • Jaw, Edentulous / therapy
  • Male
  • Maxilla / pathology
  • Neoadjuvant Therapy / methods
  • Oroantral Fistula / etiology
  • Oroantral Fistula / rehabilitation*
  • Palatal Obturators*
  • Patient Care Planning*
  • Prostatic Neoplasms / therapy
  • Zoledronic Acid

Substances

  • Bone Density Conservation Agents
  • Diphosphonates
  • Imidazoles
  • Zoledronic Acid