[Delayed wound healing post molar extraction].
One month post extraction of the second left maxillary molar the alveolar extraction site showed no signs of healing and was painful. The patient had been using an oral bisphosphonate during 3 years. Therefore, the lesion was diagnosed as bisphosphonate-induced maxillary osteonecrosis. Treatment was conservative. Since one month later the pain had increased and the wound healing had decreased, a biopsy was carried out. Histopathologic examination revealed a non-Hodgkin lymphoma.
Schepers
R H
RH
Uit de afdeling Mondziekten, Kaak- en Aangezichtschirurgie van het Medisch Centrum Leeuwarden.
De Visscher
J G A M
JG
D004164:Diphosphonates / Q000008:administration & dosage / Q000009:adverse effects; D005260:Female; D006801:Humans; D007573:Jaw Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008228:Lymphoma, Non-Hodgkin / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D010020:Osteonecrosis / Q000175:diagnosis / Q000209:etiology / Q000473:pathology; D010149:Postoperative Pain / Q000209:etiology; D011183:Postoperative Complications; D014081:Tooth Extraction / Q000009:adverse effects; D014945:Wound Healing / Q000502:physiology*
D004164:Diphosphonates