Alendronate-Induced Osteonecrosis of the Jaw in an Elderly Female
Background: In recent years, more and more evidence has demonstrated that a rare symptom, osteonecrosis of the jaw, may be associated with long-term use of bisphosphonates. Bisphosphonate-related osteonecrosis of the jaw (BRONJ) adversely affects the quality of life, producing significant morbidity...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2012-06-01
|
Series: | International Journal of Gerontology |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959811000688 |
id |
doaj-c8a63ee7eee34f2a93b7f5c98739269d |
---|---|
record_format |
Article |
spelling |
doaj-c8a63ee7eee34f2a93b7f5c98739269d2020-11-24T21:36:34ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982012-06-016213413610.1016/j.ijge.2011.08.004Alendronate-Induced Osteonecrosis of the Jaw in an Elderly FemaleBi-Wei Jan0Hui-Wen Liu1Hung Yu2Shen-Chuan Wang3Chung-Ji Liu4Department of Pharmacy, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pharmacy, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pharmacy, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pharmacy, Mackay Memorial Hospital, Taipei, TaiwanDivision of Oral and Maxillofacial Surgery, Department of Dental Medicine, Mackay Memorial Hospital, Taipei, TaiwanBackground: In recent years, more and more evidence has demonstrated that a rare symptom, osteonecrosis of the jaw, may be associated with long-term use of bisphosphonates. Bisphosphonate-related osteonecrosis of the jaw (BRONJ) adversely affects the quality of life, producing significant morbidity in afflicted patients. The most common signs and symptoms are swelling, exposed bone, local infection, pathologic fracture of the jaw, etc. Patients and methods: We report the case of an elderly female patient with alendronate-induced ONJ. After the patient discontinued taking bisphosphonates and her physician prescribed antiseptic mouthwashes and antibiotic drugs, her uncomfortable symptoms were relieved. Results: This side effect rarely occurs in Taiwan; it causes permanent harm to patients. Moreover, it affects the normal function of taking food. Therefore, this article includes a case report and a list of some related papers systematically providing clinicians with a reference for future prescription of bisphosphonates. Conclusion: Furthermore, we provide suggestions for the Mackay Memorial Hospital and dentists, in anticipation of earlier measures being taken in order to avoid bisphosphonaterelated osteonecrosis, and to reduce additional medical expenses resulting from this side effect.http://www.sciencedirect.com/science/article/pii/S1873959811000688alendronateosteonecrosis of the jawosteoporosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bi-Wei Jan Hui-Wen Liu Hung Yu Shen-Chuan Wang Chung-Ji Liu |
spellingShingle |
Bi-Wei Jan Hui-Wen Liu Hung Yu Shen-Chuan Wang Chung-Ji Liu Alendronate-Induced Osteonecrosis of the Jaw in an Elderly Female International Journal of Gerontology alendronate osteonecrosis of the jaw osteoporosis |
author_facet |
Bi-Wei Jan Hui-Wen Liu Hung Yu Shen-Chuan Wang Chung-Ji Liu |
author_sort |
Bi-Wei Jan |
title |
Alendronate-Induced Osteonecrosis of the Jaw in an Elderly Female |
title_short |
Alendronate-Induced Osteonecrosis of the Jaw in an Elderly Female |
title_full |
Alendronate-Induced Osteonecrosis of the Jaw in an Elderly Female |
title_fullStr |
Alendronate-Induced Osteonecrosis of the Jaw in an Elderly Female |
title_full_unstemmed |
Alendronate-Induced Osteonecrosis of the Jaw in an Elderly Female |
title_sort |
alendronate-induced osteonecrosis of the jaw in an elderly female |
publisher |
Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
series |
International Journal of Gerontology |
issn |
1873-9598 |
publishDate |
2012-06-01 |
description |
Background: In recent years, more and more evidence has demonstrated that a rare symptom, osteonecrosis of the jaw, may be associated with long-term use of bisphosphonates. Bisphosphonate-related osteonecrosis of the jaw (BRONJ) adversely affects the quality of life, producing significant morbidity in afflicted patients. The most common signs and symptoms are swelling, exposed bone, local infection, pathologic fracture of the jaw, etc.
Patients and methods: We report the case of an elderly female patient with alendronate-induced ONJ. After the patient discontinued taking bisphosphonates and her physician prescribed antiseptic mouthwashes and antibiotic drugs, her uncomfortable symptoms were relieved.
Results: This side effect rarely occurs in Taiwan; it causes permanent harm to patients. Moreover, it affects the normal function of taking food. Therefore, this article includes a case report and a list of some related papers systematically providing clinicians with a reference for future prescription of bisphosphonates.
Conclusion: Furthermore, we provide suggestions for the Mackay Memorial Hospital and dentists, in anticipation of earlier measures being taken in order to avoid bisphosphonaterelated osteonecrosis, and to reduce additional medical expenses resulting from this side effect. |
topic |
alendronate osteonecrosis of the jaw osteoporosis |
url |
http://www.sciencedirect.com/science/article/pii/S1873959811000688 |
work_keys_str_mv |
AT biweijan alendronateinducedosteonecrosisofthejawinanelderlyfemale AT huiwenliu alendronateinducedosteonecrosisofthejawinanelderlyfemale AT hungyu alendronateinducedosteonecrosisofthejawinanelderlyfemale AT shenchuanwang alendronateinducedosteonecrosisofthejawinanelderlyfemale AT chungjiliu alendronateinducedosteonecrosisofthejawinanelderlyfemale |
_version_ |
1725940643539189760 |