A relação entre os bifosfonatos e a osteonecrose
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Resumo
Objetivo: Descrever a relação entre bifosfonatos e osteonecrose na Odontologia. Revisão bibliográfica: A osteonecrose induzida pelo uso contínuo dos bifosfonatos é uma enfermidade patológica que tem como característica principal o surgimento de uma área com exposição óssea exposta na cavidade bucal. American Association of Oral and Maxillofacial Surgeons orienta aos profissionais de saúde envolvidos no tratamento da osteonecrose mandibular em estágios iniciais (I) a terapêutica se consista na utilização de enxaguantes bucais antissépticos e antibióticos para controle da infecção. Em estágios avançados (II e III) o tratamento mais invasivo é recomendado. O diagnóstico em estágio inicial da osteonecrose mandibular com um plano de tratamento adequado para o caso em questão poderá ser mais benéfico para o paciente em comparação com um diagnóstico da enfermidade em estágios avançados. No entanto, cada circunstância necessita ser tratada de forma individualizada. Considerações finais: O diagnóstico na fase inicial da osteonecrose, juntamente com um plano de tratamento adequado será benéfico ao paciente, devido o tratamento se persistir de forma mais conservadora.
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