Abstract
One of the adverse effects of the use of bisphosphonates is osteonecrosis of the jaw. The present study aims to report a clinical case of an 89-year-old female patient, who had used alendronate for more than 40 years, and was diagnosed with symptomatic osteonecrosis in the mandible after dental implants rehabilitation. In 2017 on clinical examination, hyperemia and persistent infection were observed. Radiographically, extensive bone involvement was found in the mandibular body, although clinical bone exposure did not reveal the complexity of the case. The proposed treatment was the association between pentoxifylline and tocopherol, laser, and conservative surgical approach. Currently, the patient has been asymptomatic for 4 months. Although the presence of osteonecrosis by the use of oral bisphosphonates is not common, the dental surgeon must be aware of this condition so the professional can diagnose and conduct the treatment in order to improve the quality of life of the patient.
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