Speaking as a periodontist, that was an excellent summary of just about everything you need to know before treating patients at risk for MRONJ. Great job.
Thank you so much, the best video on this subject I've found. I'm just about to go to hospital for 2 extractions on my lower jaw and I'm on prolia for osteoporosis. I was really thinking about stopping prolia altogether as Im terrified of ONJ and none of this has been explained to me by either my gp or dentist so now I know the risks are low will probably carry on with prolia. I've been on it for 5 years and now know just how important it is to know the facts and figures.
Thanks for watching! Unfortunately I see a lot of patients with this problem. Granted they funnel to me, but I can assure you these meds do cause this problem for some patients.
I just recently experienced osteonecrosis after full mouth extractions. My denture was digging in and caused a deep ulceration with a 1cm area of exposed bone on the bottom lingual area. After about 4 weeks, the exposed area separated off, and was able to be easily pulled out. Behind it was a bunch of granulation tissue that had grown in between the jawbone and the sequestered piece. The granulation tissue bled and was red and swollen for a few days but completely healed within another 2 weeks. (my dentist and oral surgeon kept an eye on the entire process)
I'm happy to hear everything has healed well. It sounds like you are in the care of excellent practitioners. Thanks for the comment and thanks for watching!
Should be a plastik surgery done after a simple teeth extraxtion in patients with bisphosphonate ? Or is that more travmatizing for the tissue ? Thanks
Thanks for the question! I do try to obtain a primary closure on cases where the risk of MRONJ is high. This helps protect the bone from the oral environment
Primary closure means bringing the tissue together so there is no exposed bone. Ideally a primary closure is watertight, meaning no fluid can penetrate the closure. Hope this helps!
Thanks for the question! I do discuss the risk of MRONJ and poor healing with patients who have a history of antiresorptives, and we have a separate consent form. My patients are able to take home this form to review. I also point them to this video, which is one of the reasons I made it.
Speaking as a periodontist, that was an excellent summary of just about everything you need to know before treating patients at risk for MRONJ. Great job.
Thank you very much doc! It is great to get feedback from colleagues, appreciate you watching!
Thank you so much, the best video on this subject I've found. I'm just about to go to hospital for 2 extractions on my lower jaw and I'm on prolia for osteoporosis. I was really thinking about stopping prolia altogether as Im terrified of ONJ and none of this has been explained to me by either my gp or dentist so now I know the risks are low will probably carry on with prolia. I've been on it for 5 years and now know just how important it is to know the facts and figures.
I'm glad you liked the video, best of luck with your procedure!
Excellent information. My family doctor continually denies these medications are a problem.
Thanks for watching! Unfortunately I see a lot of patients with this problem. Granted they funnel to me, but I can assure you these meds do cause this problem for some patients.
Thank you very much.
You are welcome, thanks for watching!
I just recently experienced osteonecrosis after full mouth extractions. My denture was digging in and caused a deep ulceration with a 1cm area of exposed bone on the bottom lingual area. After about 4 weeks, the exposed area separated off, and was able to be easily pulled out. Behind it was a bunch of granulation tissue that had grown in between the jawbone and the sequestered piece. The granulation tissue bled and was red and swollen for a few days but completely healed within another 2 weeks. (my dentist and oral surgeon kept an eye on the entire process)
I'm happy to hear everything has healed well. It sounds like you are in the care of excellent practitioners. Thanks for the comment and thanks for watching!
Hydroxyapatite Inhibits Bisphosphonate Toxicity to the Oral Mucosa
Should be a plastik surgery done after a simple teeth extraxtion in patients with bisphosphonate ? Or is that more travmatizing for the tissue ? Thanks
Thanks for the question! I do try to obtain a primary closure on cases where the risk of MRONJ is high. This helps protect the bone from the oral environment
@@OpenReductionOralSurgery what do you mean with primary closure ? Thank you so much 🙏
Primary closure means bringing the tissue together so there is no exposed bone. Ideally a primary closure is watertight, meaning no fluid can penetrate the closure. Hope this helps!
Do you have a copy of that information in the form of a handout so that patients can take it home, read it, and think about it?
Thanks for the question! I do discuss the risk of MRONJ and poor healing with patients who have a history of antiresorptives, and we have a separate consent form. My patients are able to take home this form to review. I also point them to this video, which is one of the reasons I made it.
If I have to endure a tortuous Biden commercial again!!