Abstract
Bisphosphonate-related osteonecrosis of the jaw and the maxilla are characterized by oral ulceration and the exposure of bone. These bone lesions have different stages and its classification plays an important role in the type of treatment. One of the possible treatments is the use of platelet rich fibrin (PRF). L-PRF therapy is a promising treatment since it has angiogenic properties that induce tissue repair. This paper is intended to present a clinical case of a woman, 60 years old, with pain related to the lower left molar area. The patient’s medical record and clinical findings suggested bisphosphonate-related osteonecrosis. Treatment for the case was the complete removal of the lesion with use of L-PRF. Histopathological analysis confirmed bisphosphonate-related osteonecrosis. Three months after the surgery, the patient returns with no pain or lesion relapse. This shows the treatment protocol for the case was right and can be replicated to similar cases. Bisphosphonate-related osteonecrosis of the jaw and the maxilla are characterized by oral ulceration and the exposure of bone. These bone lesions have different stages and its classification plays an important role in the type of treatment. One of the possible treatments is the use of platelet rich fibrin (PRF). L-PRF therapy is a promising treatment since it has angiogenic properties that induce tissue repair. This paper is intended to present a clinical case of a woman, 60 years old, with pain related to the lower left molar area. The patient’s medical record and clinical findings suggested bisphosphonate-related osteonecrosis. Treatment for the case was the complete removal of the lesion with use of L-PRF. Histopathological analysis confirmed bisphosphonate-related osteonecrosis. Three months after the surgery, the patient returns with no pain or lesion relapse. This shows the treatment protocol for the case was right and can be replicated to similar cases.
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