title: Conservative surgical management of stage I bisphosphonate-related osteonecrosis of the jaw.
abstract: Purpose. To report the efficacy of conservative surgical treatment for stage I bisphosphonate-related osteonecrosis of the jaw (BRONJ). Materials and Methods. This study reports the clinical outcomes of 63 patients treated for BRONJ stage I (according to Ruggiero's staging system) at the Oral Pathology and Laser-Assisted Surgery Unit of the University of Parma between January 2004 and January 2011. Surgical interventions were performed, under local analgesia, in patients unresponsive for a period of six months to noninvasive treatments such as cycles of local or systemic antibacterial therapy combined or not to low level laser therapy, ozone therapy, or Hyperbaric Oxygen Therapy. All interventions were performed after the consultation of oncologist or physician. Results. In our experience, conservative surgical treatment is associated with the highest number of BRONJ healed sites in stage I disease. Complete healing was observed in 92.6% of sites surgically treated. Conclusions. This study confirms that treatment of patients affected by minimal bone exposition, (stage I of BRONJ), through conservative surgical strategies, possibly with laser, may result in a high control of the disease in the long term.
authors.affiliation: Unit of Oral Pathology and Laser-Assisted Oral Surgery, Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, 43100 Parma, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Vescovi
authors.affiliation: Unit of Oral Pathology and Laser-Assisted Oral Surgery, Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, 43100 Parma, Italy.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Merigo
authors.affiliation: Unit of Oral Pathology and Laser-Assisted Oral Surgery, Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, 43100 Parma, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Meleti
authors.affiliation: Unit of Oral Pathology and Laser-Assisted Oral Surgery, Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, 43100 Parma, Italy.
authors.forename: Maddalena
authors.initials: M
authors.lastname: Manfredi
authors.affiliation: Unit of Oral Pathology and Laser-Assisted Oral Surgery, Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, 43100 Parma, Italy.
authors.forename: Carlo
authors.identifier: 0000-0001-7566-060X
authors.initials: C
authors.lastname: Fornaini
authors.affiliation: Université de Liège, 4000 Liège, Belgium.
authors.forename: Samir
authors.initials: S
authors.lastname: Nammour
authors.affiliation: Unit of Oral Pathology and Laser-Assisted Oral Surgery, Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, 43100 Parma, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Mergoni
authors.affiliation: Unit of Oral Pathology and Laser-Assisted Oral Surgery, Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, 43100 Parma, Italy.
authors.forename: Amin
authors.identifier: 0000-0003-3732-8803
authors.initials: A
authors.lastname: Sarraj
authors.affiliation: University of Valencia, 46010 Valencia, Spain.
authors.forename: Jose V
authors.initials: JV
authors.lastname: Bagan