Multiple Myeloma and Bisphosphonate-Related Osteonecrosis of the Mandible Associated with Dental Implants

Multiple myeloma (MM) is a malignant plasma cell disorder and more than 30% of patients with this pathology develop osteolytic lesions in the jaw. Either pamidronate or zoledronic acid is recommended in patients with MM who have one or more lytic lesions. However, bisphosphonate-related osteonecrosi...

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Main Authors: Luis Junquera, Lorena Gallego, Alejandro Pelaz
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2011/568246
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author Luis Junquera
Lorena Gallego
Alejandro Pelaz
author_facet Luis Junquera
Lorena Gallego
Alejandro Pelaz
author_sort Luis Junquera
collection DOAJ
description Multiple myeloma (MM) is a malignant plasma cell disorder and more than 30% of patients with this pathology develop osteolytic lesions in the jaw. Either pamidronate or zoledronic acid is recommended in patients with MM who have one or more lytic lesions. However, bisphosphonate-related osteonecrosis of the jaws (BRONJ) has been described as a complication associated with their use. Otherwise, the use of endosseous implants in oral rehabilitation is a well-established procedure, with good long-term success although systemic factors may affect the bone healing around dental implants. We report the first case reported of MM adjacent to a mandibular dental implant in a patient who developed BRONJ in the same area after intravenous zoledronate treatment. We discuss possible pathogeny of this particular and interesting phenomena.
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spelling doaj-art-e9be0aa10a38452aaebe0ad99bd8c1db2025-02-03T05:52:50ZengWileyCase Reports in Dentistry2090-64472090-64552011-01-01201110.1155/2011/568246568246Multiple Myeloma and Bisphosphonate-Related Osteonecrosis of the Mandible Associated with Dental ImplantsLuis Junquera0Lorena Gallego1Alejandro Pelaz2Oral and Maxillofacial Surgery, Dental School, University of Oviedo, Catedrático José Serrano Street, 33009 Oviedo, SpainDepartment of Oral and Maxillofacial Surgery, Cabueñes Hospital, 33394 Gijón, SpainDepartment of Oral and Maxillofacial Surgery, Central University Hospital, 33006 Oviedo, SpainMultiple myeloma (MM) is a malignant plasma cell disorder and more than 30% of patients with this pathology develop osteolytic lesions in the jaw. Either pamidronate or zoledronic acid is recommended in patients with MM who have one or more lytic lesions. However, bisphosphonate-related osteonecrosis of the jaws (BRONJ) has been described as a complication associated with their use. Otherwise, the use of endosseous implants in oral rehabilitation is a well-established procedure, with good long-term success although systemic factors may affect the bone healing around dental implants. We report the first case reported of MM adjacent to a mandibular dental implant in a patient who developed BRONJ in the same area after intravenous zoledronate treatment. We discuss possible pathogeny of this particular and interesting phenomena.http://dx.doi.org/10.1155/2011/568246
spellingShingle Luis Junquera
Lorena Gallego
Alejandro Pelaz
Multiple Myeloma and Bisphosphonate-Related Osteonecrosis of the Mandible Associated with Dental Implants
Case Reports in Dentistry
title Multiple Myeloma and Bisphosphonate-Related Osteonecrosis of the Mandible Associated with Dental Implants
title_full Multiple Myeloma and Bisphosphonate-Related Osteonecrosis of the Mandible Associated with Dental Implants
title_fullStr Multiple Myeloma and Bisphosphonate-Related Osteonecrosis of the Mandible Associated with Dental Implants
title_full_unstemmed Multiple Myeloma and Bisphosphonate-Related Osteonecrosis of the Mandible Associated with Dental Implants
title_short Multiple Myeloma and Bisphosphonate-Related Osteonecrosis of the Mandible Associated with Dental Implants
title_sort multiple myeloma and bisphosphonate related osteonecrosis of the mandible associated with dental implants
url http://dx.doi.org/10.1155/2011/568246
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AT alejandropelaz multiplemyelomaandbisphosphonaterelatedosteonecrosisofthemandibleassociatedwithdentalimplants