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Review
. 2014 Aug;59(8):790-9.
doi: 10.1016/j.archoralbio.2014.05.002. Epub 2014 May 10.

Important aspects regarding the role of microorganisms in bisphosphonate-related osteonecrosis of the jaws

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Review

Important aspects regarding the role of microorganisms in bisphosphonate-related osteonecrosis of the jaws

Renata Chiapinotto Boff et al. Arch Oral Biol. 2014 Aug.

Abstract

Bisphosphonate-related osteonecrosis of the jaws (BRONJ) is an important side effect of bisphosphonates, whose etiopathogenesis has not been completely elucidated. Theories pointing to bone turnover and angiogenesis inhibition, as well as effects on epithelial cells of oral mucosa and the role of microorganisms have been reported. Nevertheless, the true contribution of each one of these factors to BRONJ is unknown. We present here a literature review focusing on important aspects regarding the role of microorganisms in BRONJ development. Knowledge about specific microbiota and its role in the etiopathogenesis of this disease can help the optimisation of preventive and therapeutic interventions in patients with or at-risk for BRONJ.

Keywords: Actinomyces sp.; Bisphosphonate; Candida sp.; Infection; Osteonecrosis of the jaws.

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