title: Painful trigeminal neuropathy induced by oral bisphosphonate-related osteonecrosis of the jaw: a new etiology for the numb-chin syndrome.
abstract: We describe the management of BRONJ triggered by dental implants in a patient on oral bisphosphonates. The sequestrum in the body of the mandible was large and involved the inferior alveolar nerve, causing a painful neuropathy. A successful outcome was obtained by combining conservative and surgical interventions.
authors.affiliation: Department of Oral Medicine, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
authors.forename: Yehuda
authors.initials: Y
authors.lastname: Zadik
authors.forename: Rafael
authors.initials: R
authors.lastname: Benoliel
authors.forename: Yoram
authors.initials: Y
authors.lastname: Fleissig
authors.forename: Nardy
authors.initials: N
authors.lastname: Casap
mesh_terms: D000368:Aged; D019386:Alendronate / Q000009:adverse effects; D000639:Amitriptyline / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D059266:Bisphosphonate-Associated Osteonecrosis of the Jaw / Q000150:complications* / Q000601:surgery; D050071:Bone Density Conservation Agents / Q000009:adverse effects; D002680:Chin / Q000294:innervation*; D003389:Cranial Nerve Diseases / Q000209:etiology; D003646:Debridement; D015921:Dental Implants / Q000009:adverse effects; D020878:Device Removal; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006987:Hypesthesia / Q000209:etiology*; D008336:Mandibular Diseases / Q000150:complications* / Q000601:surgery; D008340:Mandibular Nerve / Q000503:physiopathology; D010147:Pain Measurement; D053591:Referred Pain / Q000209:etiology; D020433:Trigeminal Nerve Diseases / Q000209:etiology*
chemical_list: D018712:Analgesics, Non-Narcotic; D050071:Bone Density Conservation Agents; D015921:Dental Implants; D000639:Amitriptyline; D019386:Alendronate