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Chapter 107: Bisphosphonate-Associated Osteonecrosis of the Jaws Nathaniel S. Treister and Sook-Bin Woo.

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Presentation on theme: "Chapter 107: Bisphosphonate-Associated Osteonecrosis of the Jaws Nathaniel S. Treister and Sook-Bin Woo."— Presentation transcript:

1 Chapter 107: Bisphosphonate-Associated Osteonecrosis of the Jaws Nathaniel S. Treister and Sook-Bin Woo

2 Table 1. BONJ Clinical Staging System © 2008 American Society for Bone and Mineral Research From the Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, 7 th Edition. www.asbmrprimer.org

3 Figure 1 Figure 1 (A) BONJ in the area of a nonhealing mandibular premolar extraction site. The surrounding soft tissue is healthy-appearing. (B) BONJ of the left mandibular torus with healthy-appearing surrounding soft tissue. © 2008 American Society for Bone and Mineral Research From the Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, 7 th Edition. www.asbmrprimer.org

4 Figure 2 Figure 2 (A) Extensive BONJ of the left posterior maxilla with associated soft tissue infection and purulence. (B) CT scan of patient from A with mottled right maxillary alveolar process and complete opacification of the right and partial opacification of the left maxillary sinuses. © 2008 American Society for Bone and Mineral Research From the Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, 7 th Edition. www.asbmrprimer.org

5 Figure 3 Figure 3 (A) Panoramic radiograph showing a mixed radiolucent and radiopaque lesion of the right mandible with a larger area of diffuse osteosclerosis. (B) Panoramic radiograph showing a persistent extraction socket of the left mandible years after extraction. (C) Axial CT scan of the mandible showing sclerosis with lingual sequestrum formation (arrow). © 2008 American Society for Bone and Mineral Research From the Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism, 7 th Edition. www.asbmrprimer.org


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