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Dental Rehabilitation in Patients Receiving Antiresorptive Drugs

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Medication-Related Osteonecrosis of the Jaws

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Abstract

Oral rehabilitation is a major issue in patients with severe oncological diseases or osteoporosis in order to ensure a better quality of life. Whenever possible, oral rehabilitation should be considered. However, new prostheses and sore spots are often underestimated in regard to their risk of triggering medication-related osteonecrosis of the jaw (MRONJ) lesions. Dental care with monitoring oral hygiene and preserving teeth is essential in MRONJ prophylaxis. Prosthetic treatment should avoid the need of invasive dentoalveolar procedures during antiresorptive therapy if possible because these situations are associated with a risk to trigger MRONJ onset. Clinicians and patients should be aware of these risks. Planning of prostheses and continuous recalls adapted to the individual risk of MRONJ will reduce the patients’ risk considerably. The chapter describes the planning of prosthetic oral rehabilitation of patients receiving oral and intravenous bisphosphonate administrations as well as rehabilitation of patients with a history of MRONJ.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, University Hospital Tuebingen, Osianderstrasse 2-8, Tuebingen, BW, Germany

    Sebastian Hoefert DMD, MD

  2. Department of Prosthodontics and Section “Medical Materials and Technology”, University Hospital Tuebingen, Osianderstrasse 2-8, Tuebingen, BW, 72076, Germany

    Feraydoon Sharghi DMD & Eva Engel DMD

Authors
  1. Sebastian Hoefert DMD, MD
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  2. Feraydoon Sharghi DMD
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  3. Eva Engel DMD
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Corresponding author

Correspondence to Sebastian Hoefert DMD, MD .

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Editors and Affiliations

  1. Department of Oral and Maxillofacial Sur, Ludwig-Maximilians-University of Munich, Munich, Germany

    Sven Otto

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Hoefert, S., Sharghi, F., Engel, E. (2015). Dental Rehabilitation in Patients Receiving Antiresorptive Drugs. In: Otto, S. (eds) Medication-Related Osteonecrosis of the Jaws. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43733-9_16

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  • DOI: https://doi.org/10.1007/978-3-662-43733-9_16

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43732-2

  • Online ISBN: 978-3-662-43733-9

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