title: Bisphosphonate osteonecrosis: a protocol for surgical management.
abstract: We present a protocol for the management of a subgroup of patients with bisphosphonate osteonecrosis who presented with painful, exposed, necrotic, alveolar bone. It is simple and can easily be adapted to suit anatomical variations of the oral cavity. Current guidelines based on consensus for the management of bisphosphonate-induced osteonecrosis fail to provide mucosal coverage, which is a primary requirement in managing the condition. We have evaluated the results of a group of 15 patients and analysed their postoperative progress for 24 months.
authors.affiliation: Department of Oral & Maxillofacial Surgery, Crosshouse Hospital, Kilmarnock, Ayrshire, UK. gmarkose@gmail.com
authors.forename: George
authors.initials: G
authors.lastname: Markose
authors.forename: Fiona R
authors.initials: FR
authors.lastname: Mackenzie
authors.forename: W J R
authors.initials: WJ
authors.lastname: Currie
authors.forename: W S
authors.initials: WS
authors.lastname: Hislop
mesh_terms: D000368:Aged; D016301:Alveolar Bone Loss / Q000601:surgery; D050071:Bone Density Conservation Agents / Q000009:adverse effects*; D004164:Diphosphonates / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007571:Jaw Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008336:Mandibular Diseases / Q000139:chemically induced / Q000601:surgery; D008875:Middle Aged; D010020:Osteonecrosis / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D014081:Tooth Extraction; D016896:Treatment Outcome
chemical_list: D050071:Bone Density Conservation Agents; D004164:Diphosphonates