Answer: There is not a specific answer or adequate studies. In some countries, Italy for example, zoledronic acid can be readministered after MRONJ has healed, if it is deemed clinically necessary. T... [Read more]

Answer: If tooth is not painful but has been planned to be removed following a certain dental treatment: I will discuss with the patient’s oncologist about the patient’s status and oncological needs,... [Read more]

Answer: Coverage of the post-extraction area with oral mucosa is a good response. However, it is advisable to further document the bone remodeling radiographically [1].  Bibliography: Nicolatou-G... [Read more]

Answer: A biopsy is recommended to be performed at the time of dental extraction to assess the vitality of the bone. Comment: The presence of necrotic bone at the histological specimen, together wit... [Read more]

Answer: Antiresorptive medication may be re-administer 2 to 4 months after the dental extraction and if healing has been accomplished. Healing is assessed both clinically and radiographically. Covera... [Read more]

Answer: The new denture can be made after the healing of the surgical management. Usually, a time of 2 to 4 months is necessary as it is recommended by expert opinion. Healing should be assessed on c... [Read more]

Answer: In patients with osteoporosis the dose of the anti-resorptive medication is lower over the year, even up to 12 times lower. Furthermore, the medications for osteoporosis may have structural d... [Read more]

Answer: Yes, removable dentures can be a risk factor for the development of medication-related osteonecrosis of the jaw in patients, who receive anti-resorptive medications. A good approach is to kee... [Read more]

Answer: Amoxycillin 500mg and metronidazole 500mg, every 8 hours, is a good scheme of antibiotics, which has helped us during our clinical practice and we have published it [1]. Same scheme has also ... [Read more]

Answer: Yes, I can do the extraction, if I have the relevant education and knowledge. Otherwise, it is preferable to refer the patient and collaborate with an oral surgeon, with experience in the man... [Read more]

Answer: I will ask if the patient has a history of autoimmune disease in the mouth, as for example, is the lichen planus, or in the skin or in any other area in the body.  Comment: Immunotherapy in ... [Read more]

Answer: I perform a radiographic examination, with periapical x-rays and orthopantomography.  I also consider the contribution of the CBCT [1, 2]. Following the radiological assessment, I manage my p... [Read more]

Answer: A dental extraction, when needed, particularly if the tooth is within the plan of radiotherapy, should, preferably, be performed about 10 days prior to the initiation of therapy. [1]. We con... [Read more]

Answer: If symptoms do not respond within 10-15 days, after conservative treatment (antibiotics, endodontic or periodontal therapy, depending on the dental problem), we should decide on the dental ex... [Read more]