TY - JOUR
T1 - Prevention and management of drug-induced osteonecrosis of the jaws using platelet-rich fibrin
T2 - A clinical feasibility study
AU - Alrmali, Abdusalam
AU - Saleh, Muhammad H.A.
AU - Kurdi, Salaheddin Mohamed S.
AU - Sabri, Hamoun
AU - Meghil, Mohamed M.
AU - Wang, Hom Lay
N1 - Publisher Copyright:
© 2023 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.
PY - 2023/10
Y1 - 2023/10
N2 - Objective: Although a standard treatment guideline has not been established to date, various treatment modalities have been described in the literature based on the staging of medication-related osteonecrosis of the jaw (MRONJ). The aim of this case series was to describe the outcomes of surgical intervention of MRONJ cases with the adjunctive use of platelet-rich fibrin (PRF). Materials and Methods: Thirteen patients under therapy with zoledronic acid, seven of them underwent surgical removal of necrotic bone with debridement, followed by placement of three to four PRF membranes and achieving primary closure. In six patients, PRF was used preventively to avoid MRONJ. Results: The surgical treatment outcomes were successful in all patients, with a follow-up range of 12–48 months. In the presented cases, the intraoral evaluation showed excellent soft tissue healing except for one patient secondary wound healing was reported. Additionally, there was no recurrence of bone exposure in all cases. PRF membranes were comparatively effective in postsurgical pain control. Conclusion: The use of PRF could represent a valuable adjunct in the surgical management for advanced stages of MRONJ cases. Clinical Relevance: This clinical case series describes the use of PRF membranes as a valuable adjunct in the surgical management of MRONJ patients, especially when treating advanced MRONJ cases. Moreover, PRF demonstrates usefulness in preventing such difficult complications from occurring.
AB - Objective: Although a standard treatment guideline has not been established to date, various treatment modalities have been described in the literature based on the staging of medication-related osteonecrosis of the jaw (MRONJ). The aim of this case series was to describe the outcomes of surgical intervention of MRONJ cases with the adjunctive use of platelet-rich fibrin (PRF). Materials and Methods: Thirteen patients under therapy with zoledronic acid, seven of them underwent surgical removal of necrotic bone with debridement, followed by placement of three to four PRF membranes and achieving primary closure. In six patients, PRF was used preventively to avoid MRONJ. Results: The surgical treatment outcomes were successful in all patients, with a follow-up range of 12–48 months. In the presented cases, the intraoral evaluation showed excellent soft tissue healing except for one patient secondary wound healing was reported. Additionally, there was no recurrence of bone exposure in all cases. PRF membranes were comparatively effective in postsurgical pain control. Conclusion: The use of PRF could represent a valuable adjunct in the surgical management for advanced stages of MRONJ cases. Clinical Relevance: This clinical case series describes the use of PRF membranes as a valuable adjunct in the surgical management of MRONJ patients, especially when treating advanced MRONJ cases. Moreover, PRF demonstrates usefulness in preventing such difficult complications from occurring.
KW - autologous platelet concentrate
KW - bisphosphonates
KW - leukocyte—platelet-rich fibrin
KW - osteonecrosis of the jaw
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U2 - 10.1002/cre2.775
DO - 10.1002/cre2.775
M3 - Article
AN - SCOPUS:85168501193
SN - 2057-4347
VL - 9
SP - 791
EP - 798
JO - Clinical and Experimental Dental Research
JF - Clinical and Experimental Dental Research
IS - 5
ER -