Treatment of Apical Periodontitis Induced BRONJ with Endodontic Treatment

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dc.contributor.authorSancar, Bahadır
dc.contributor.authorAkinci, Levent
dc.contributor.authorTalay, Gönen Aras
dc.date.accessioned2026-04-04T13:19:01Z
dc.date.available2026-04-04T13:19:01Z
dc.date.issued2024
dc.departmentİnönü Üniversitesi
dc.description.abstractBisphosphonate related osteonecrosis of the jaw (BRONJ), which is one of the serious side effects of bisphosphonates, has an increasing clinical importance due to the widespread use of bisphosphonates in the treatment of many diseases such as osteoporosis, osteopenia, Paget's disease, osteogenesis imperfecta, and multiple myeloma. BRONJ can spontaneously develop in the jawbones. In addition, many factors such as tooth extraction, periodontal diseases, and local trauma can trigger BRONJ. In our case, it was detected that the lesion appearing like BRONJ in the left lower jaw of the 65 years old female patient with a history of oral bisphosphonate use developed due to apical periodontitis resulting from the tooth numbered 34. Root canal treatment was administered to the relevant tooth of the patient, the fistula tract was closed after this treatment, and as a result of the CBCT examination, it was observed that the enlargement in the necrotic bone area stopped. In addition, the patient's complaints about the relevant tooth disappeared. As a result, endodontic treatment is an effective treatment approach in the treatment of BRONJ developing due to apical periodontitis. In order to avoid the risk of BRONJ, a detailed oral examination should be performed before starting the bisphosphonate treatment, and necessary endodontic, restorative and periodontal treatments should be followed. © 2024, Ataturk Universitesi. All rights reserved.
dc.identifier.doi10.17567/ataunidfd.1039378
dc.identifier.endpage241
dc.identifier.issn2822-2555
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85201804415
dc.identifier.scopusqualityQ4
dc.identifier.startpage238
dc.identifier.trdizinid1271020
dc.identifier.urihttps://doi.org/10.17567/ataunidfd.1039378
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1271020
dc.identifier.urihttps://hdl.handle.net/11616/108098
dc.identifier.volume34
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherAtaturk Universitesi
dc.relation.ispartofCurrent Research in Dental Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250329
dc.subjectApical Periodontitis
dc.subjectBRONJ
dc.subjectEndodontics
dc.subjectOsteoporosis
dc.titleTreatment of Apical Periodontitis Induced BRONJ with Endodontic Treatment
dc.title.alternativeApikal Periodontitis Kaynaklı BRONJ’un Endodontik Tedavi ile Tedavisi]
dc.typeArticle

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