Approximately 500 patients will be included in this patient registry. Data collection includes demographics, clinical data of underlying disease and use of bisphosphonates, denosumab and antiangiogenic drugs , degree and extension of osteonecrosis, osteonecrosis-specific treatment, outcomes and complications within 1 year after treatment.
Approximately 500 patients diagnosed with medication-related osteonecrosis of the jaw will be enrolled in the study. Patients will undergo standard (routine) of care treatment, either conservative or surgical or both, and followed up during one year after the initiation of the treatment. Treatment outcome (development of the condition), pain and complications will be collected and documented over the duration of the registry.
Study Type
OBSERVATIONAL
Enrollment
518
Disinfectant mouth rinses, Antibiotic therapy, Antifungal therapy
Superficial debridement, Complete removal of necrotic bone, Complete bone resection, When applicable revision and soft tissue coverage
Hyperbaric oxygen therapy Pentoxifylline and tocopherol Ozone therapy Low level laser therapy Pain relief Anti-inflammatory treatment Platelet rich plasma Parathyroid hormone and teriparatide Bone morphogenetic protein
University of Kentucky Chandler Medical Center
Lexington, Kentucky, United States
Helsinki University Hospital
Helsinki, Finland
Charité - Universitätsmedizin Berlin
Berlin, Germany
Treatment outcome
Compared to the baseline status of the patient's condition, the outcome will be evaluated as: * Worsening of the osteonecrosis (e.g. size of the lesion increased) * No change of the osteonecrosis * Reduction of the osteonecrosis (e.g. size of the lesion decrease) * Complete mucosa healing
Time frame: 6 months / 1 year
Pain perception
Numeric Rating Scale
Time frame: 6 months / 1 year
Staging of osteonecrosis
Staging of osteonecrosis according to the American Association of Oral and Maxillofacial Surgeons
Time frame: 6 months / 1 year
Site and size of the lesion
Site (single vs. multiple) and size of the lesion according to Weitzman et al.
Time frame: 6 months / 1 year
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Universitätskliniken Eppendorf
Hamburg, Germany
Ludwig-Maximilians University Munich, Klinik und Poliklinik für Mund-, Kiefer und Gesichtschirurgie
München, Germany
Eramus MC
Rotterdam, Netherlands
Hamad Medical Corporation
Doha, Qatar
Emergency Clinical County Hospital of Constanta
Constanța, Romania
University Medical Centre Ljubljana
Ljubljana, Slovenia
Kyungpool National University
Daegu, South Korea
...and 4 more locations