Plain film and CBCT findings in a case of bisphosphonate-related osteonecrosis of the jaw.
Imaging, along with clinical examination, plays a key role in determining the presence and extent of bisphosphonate-related osteonecrosis of the jaw (BRONJ). In this case, cone-beam computerized tomography (CBCT) was used to detect a large sequestrum and hyperstotic bone, leading to a diagnosis of bisphosphonate-related osteonecrosis of the jaw in a patient with a history of oral bisphosphonate use for treatment of osteoporosis. The radiographic features of this case of BRONJ are discussed.
Singer
Steven R
SR
Department of Oral and Maxillofacial Radiology, Columbia University College of Dental Medicine, New York, NY 10032, USA. srs2@columbia.edu
Mupparapu
Muralidhar
M
D000284:Administration, Oral; D000368:Aged; D050071:Bone Density Conservation Agents / Q000008:administration & dosage / Q000009:adverse effects*; D054893:Cone-Beam Computed Tomography; D003937:Diagnosis, Differential; D004164:Diphosphonates / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D000077557:Ibandronic Acid; D008439:Maxillary Diseases / Q000139:chemically induced / Q000000981:diagnostic imaging*; D010020:Osteonecrosis / Q000139:chemically induced / Q000000981:diagnostic imaging*
D050071:Bone Density Conservation Agents; D004164:Diphosphonates; D000077557:Ibandronic Acid