Document Detail


Updates on bisphosphonates and potential pathobiology of bisphosphonate-induced jaw osteonecrosis.
MedLine Citation:
PMID:  18336375     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Osteonecrosis of the jaws is a major complication associated with long-term use of bisphosphonates. While osteonecrosis can arise from other precipitating conditions, bisphosphonate-induced jaw osteonecrosis (BJON) is highly associated with long-term administration of pamidronate (Aredia) and zoledronic acid (Zometa), which are two intravenous bisphosphonate formulations. The underlying pathogenesis of BJON and its site-specific presentation still remain to be fully elucidated. This review will discuss clinically available bisphosphonates, current opinions, pathogenesis, and management guidelines for bisphosphonate-induced jaw osteonecrosis.
Authors:
J Sarin; S S DeRossi; S O Akintoye
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review    
Journal Detail:
Title:  Oral diseases     Volume:  14     ISSN:  1601-0825     ISO Abbreviation:  Oral Dis     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-13     Completed Date:  2008-06-16     Revised Date:  2010-08-20    
Medline Journal Info:
Nlm Unique ID:  9508565     Medline TA:  Oral Dis     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  277-85     Citation Subset:  D    
Affiliation:
Department of Oral Medicine, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Apoptosis
Bone Density Conservation Agents / adverse effects*,  pharmacokinetics
Bone Remodeling / drug effects
Diphosphonates / adverse effects*,  pharmacokinetics
Humans
Jaw / blood supply,  metabolism
Jaw Diseases / chemically induced*,  metabolism,  prevention & control
Neovascularization, Physiologic / drug effects
Oral Hygiene
Oral Surgical Procedures / contraindications
Osteoclasts / drug effects
Osteonecrosis / chemically induced*,  metabolism,  prevention & control
RANK Ligand / antagonists & inhibitors
Grant Support
ID/Acronym/Agency:
1K08CA120875-01/CA/NCI NIH HHS; K08 CA120875-03/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Bone Density Conservation Agents; 0/Diphosphonates; 0/RANK Ligand

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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