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Perda tardia de implante dentário devido a osteonecrose associada ao uso de bisfosfonatos: relato de caso clínico
| Content Provider | Semantic Scholar |
|---|---|
| Author | Gomes, Fernando Vacilotto Mattis, Frederico Mayer, Luciano |
| Copyright Year | 2016 |
| Abstract | Inumeras linhas de pesquisa tem associado o uso dos bisfosfonatos (BFs) a diversos tratamentos odontologicos. Sua utilizacao e de grande valia na prevencao da reabsorcao ossea, como coadjuvante nos tratamentos periodontais; na inibicao da reabsorcao radicular em casos de endodontia de dentes que sofreram trauma; na manutencao da posicao dentaria pos-tratamentos ortodonticos e na propria osseointegracao de implantes dentarios. A reabilitacao de pacientes com implantes dentarios vem se tornando uma realidade cada vez mais rotineira nos consultorios odontologicos. Poucas sao suas contraindicacoes, entretanto o grupo de pacientes que faz uso de bisfosfonatos (farmacos analogos dos pirofosfatos endogenos), podem apresentar uma reacao adversa indesejavel chamada de osteonecrose associada aos bisfosfonatos (OAB). O presente trabalho tem como objetivo alertar os implantodontistas da possivel ocorrencia tardia da osteonecrose dos maxilares associada a bisfosfonatos – BRONJ (do ingles Bisphosphonate-Related Osteonecrosis of the Jaw) em regiao de implantes ja osseointegrados atraves de um relato de caso clinico onde a paciente desenvolveu OAB 1 ano apos ser reabilitada. Palavras-chave: osteonecrose, bisfosfonatos, implante dentario, BRONJ. ABSTRACT: Numerous lines of research has associated the use of bisphosphonates (BPs) to various dental treatments. Its use is of great value in preventing bone resorption, as an adjunct to periodontal treatments; the inhibition of root resorption in cases of endodontic teeth that suffered trauma; the maintenance of post-orthodontic treatment tooth position and own osseointegration of dental implants. The rehabilitation of patients with dental implants is becoming an increasingly routine reality in dental offices. Few their contraindications, though the group of patients who make use of bisphosphonates (analogue drugs of endogenous pyrophosphates), may have undesirable adverse reaction called osteonecrosis associated with bisphosphonates (OAB). This paper aims to alert implantodontists of possible late occurrence of osteonecrosis of the jaw associated with bisphosphonates - BRONJ (English bisphosphonate-Related Osteonecrosis of the Jaw) in implant region already osseointegrated through a case report where a patient developed OAB one year after being rehabilitated. Key-words: osteonecrosis, bisphosphonates, dental implant, BRONJ. |
| File Format | PDF HTM / HTML |
| Volume Number | 5 |
| Alternate Webpage(s) | http://www.rvacbo.com.br/ojs/index.php/ojs/article/download/293/358 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
