Abordagem cirúrgica odontológica em pacientes usuários de medicamentos antirreabsortivos: relato de caso

Abstract

Bisphosphonates are anti-resorptive drugs that inhibit bone resorption. Some osteometabolic diseases such as osteogenesis imperfecta, osteoporosis, Paget's disease and especially bone metastases from complications of malignancies have indication for use of these drugs A condition known as medication-related osteonecrosis of the jaws is a further complication to the use of these drugs. The aim of this study is to present a clinical case in wich a dental extraction was performed to a patient previously treated with bisphosphonate and treated for bisphosphonate-related osteonecrosis of the jaw (BRONJ) due to another dental extration performed about 4 years earlier. Follow up showed that prophylactic antibiotic prescription 2 days before, use of mucoperiosteal flap, followed by dental extraction socket curettage, removal of bone spurs and primary suturing of the flap, as well as clorhexidine 0,12% mouthrinses pre and postoperatively, for this patient was effective.