Engelsk titel: Orthodontic tooth extraction in patients treated with intravenous bisphosphonates
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Författare:
Hasseus, Bengt
;
Lith, Agnetha
;
Mohlin, Bengt
Email: bengt.hasseus@odontologi.gu.se
Språk: Swe
Antal referenser: 14
Dokumenttyp:
Fallbeskrivning
UI-nummer: 15053849
Sammanfattning
Osteonecrosis of the jaws is a serious complication
in patients treated with bisphosphonates. Tooth extraction
is a high risk procedure in these patients.
We report two patients with multiple myeloma and
treated with intravenous administration of bisphosphonates
for seven or six years respectively, where
orthodontic extrusion was used to remove teeth
in order to minimize surgical trauma and reduce
the risk for osteonecrosis. In both cases the treatments
were free of complications and the time period
for treatment was four and three months respectively.
Follow up, four and three years after
teeth removal showed no signs of osteonecrosis.
Thus, orthodontic extraction of teeth seemed to be
a feasible alternative to surgical treatment in patients
at risk of bisphosphonate-related osteonecrosis
of the jaws.