Abstract

The document associated with this DOI has been withdrawn.

Highlights

  • Osteonecrosis of the Jaw (ONJ) - related to Bisphosphonates (BPs), denosumab, and other drugs - is a bone disease, that should be evaluated on base of clinical features and by imaging tools, mostly Computed Tomography (CT) or Cone Beam Computed Tomography (CBCT)

  • We evaluated CT scans of patients treated with denosumab, developing ONJ

  • “Late signs” included: oro-antral fistula; pathologic fracture; prominence of the inferior alveolar nerve canal; osteolysis extending to the sinus floor; diffuse osteosclerosis; osteosclerosis of adjacent bones; periosteal reaction; sinusitis

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Summary

Introduction

Osteonecrosis of the Jaw (ONJ) - related to Bisphosphonates (BPs), denosumab, and other drugs - is a bone disease, that should be evaluated on base of clinical features (bone exposure and other signs or symptoms) and by imaging tools, mostly Computed Tomography (CT) or Cone Beam Computed Tomography (CBCT). Methods: We reviewed relevant images at ONJ sites of patients developing ONJ after zoledronic acid or denosumab treatment, looking for presence of radiological alteration signs, described by Bedogni et al[4] and included in ONJ management recommendations by Italian Societies of Oral Medicine (SIPMO) and Maxillofacial Surgery (SICMF)[5][6] .

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