Abstract
An 82-year-old female patient with anemia (hemoglobin 9 g/dL) and a history of alendronate and zolendronic acid use for osteoporosis was referred to our clinic with a chief complaint of pain in the maxilla. During clinical examination, mucosal erythema in the anterior maxilla in a region that had been surgically accessed for the extraction of a tooth 1 year earlier was the only clinical sign compatible with the complaint. Her overall mucosa was pale, associated with her low hemoglobin count. After radiographic evaluation, the alveolar bone that was once circumscribing the extracted tooth had no signs of resorption. Due to the findings, a surgical approach was proposed. After the mucosal incision, a fair amount of granulation tissue was removed, alveoloplasty with surgical bur was performed, and primary closure was achieved. Fourteen days of antibiotic therapy was prescribed. Postoperative evaluations were conducted with no signs of persistent medication-related osteonecrosis of the jaw (MRONJ) or mucosal changes in a 3-year follow-up period. An 82-year-old female patient with anemia (hemoglobin 9 g/dL) and a history of alendronate and zolendronic acid use for osteoporosis was referred to our clinic with a chief complaint of pain in the maxilla. During clinical examination, mucosal erythema in the anterior maxilla in a region that had been surgically accessed for the extraction of a tooth 1 year earlier was the only clinical sign compatible with the complaint. Her overall mucosa was pale, associated with her low hemoglobin count. After radiographic evaluation, the alveolar bone that was once circumscribing the extracted tooth had no signs of resorption. Due to the findings, a surgical approach was proposed. After the mucosal incision, a fair amount of granulation tissue was removed, alveoloplasty with surgical bur was performed, and primary closure was achieved. Fourteen days of antibiotic therapy was prescribed. Postoperative evaluations were conducted with no signs of persistent medication-related osteonecrosis of the jaw (MRONJ) or mucosal changes in a 3-year follow-up period.
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