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The literature describes an increasing presence of bisphosphonate-induced osteonecrosis of the jaws (ONJ), characterized
by the exposure for over 8 weeks of necrotic bone in the maxillofacial region, after bisphosphonate therapy,
in the absence of prior maxillary radiotherapy. The present literature review examines the etiopathogenesis, risk
factors, clinical forms, diagnosis, treatment and prevention of bisphosphonate-induced ONJ. In addition, a review
is made of all the series involving over 15 patients diagnosed with this disorder between 1 January 2011 and 15 May
2011. A PubMed-Medline search was carried out with the following key words: 'bisphosphonates' and 'osteonecrosis'.
The appearance of osteonecrosis is a serious complication, with an increasing incidence, that affects patient
quality of life and causes important morbidity. All patients treated with bisphosphonates are at risk of developing
osteonecrosis as a result of such medication. This potential complication therefore should be explained to the patient
by both the prescribing physician and the dental surgeon in charge of oral treatment, with the obtainment of
informed consent in all cases.
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