Ultrasonic Navigation for the Treatment of Medication-Related Jaw Osteonecrosis Involving the Inferior Alveolar Nerve: A Case Report and Protocol Review
Dynamic navigation (DN) is a computer-guided technique employed in different surgical fields and recently adopted in dental implantology to improve the accuracy of dental implant insertion. Medication-related osteonecrosis of the jaws (MRONJ) often requires the surgical removal of the impaired, hard...
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doaj-df388bff39604ef9810808d7352f278e2020-11-25T03:36:10ZengMDPI AGMethods and Protocols2409-92792020-10-013707010.3390/mps3040070Ultrasonic Navigation for the Treatment of Medication-Related Jaw Osteonecrosis Involving the Inferior Alveolar Nerve: A Case Report and Protocol ReviewGerardo Pellegrino0Francesca Pavanelli1Agnese Ferri2Giuseppe Lizio3Roberto Parrulli4Claudio Marchetti5Oral of Maxillofacial Surgery Unit, DIBINEM, University of Bologna, Via San Vitale 59, 40125 Bologna, ItalyOral of Maxillofacial Surgery Unit, DIBINEM, University of Bologna, Via San Vitale 59, 40125 Bologna, ItalyOral of Maxillofacial Surgery Unit, DIBINEM, University of Bologna, Via San Vitale 59, 40125 Bologna, ItalyOral of Maxillofacial Surgery Unit, DIBINEM, University of Bologna, Via San Vitale 59, 40125 Bologna, ItalyOral of Maxillofacial Surgery Unit, DIBINEM, University of Bologna, Via San Vitale 59, 40125 Bologna, ItalyOral of Maxillofacial Surgery Unit, DIBINEM, University of Bologna, Via San Vitale 59, 40125 Bologna, ItalyDynamic navigation (DN) is a computer-guided technique employed in different surgical fields and recently adopted in dental implantology to improve the accuracy of dental implant insertion. Medication-related osteonecrosis of the jaws (MRONJ) often requires the surgical removal of the impaired, hard tissue, trying at the same time to spare the healthy tissue and the noble anatomical structures. A case of extensive bilateral medication-related osteonecrosis, with the symptomatic involvement of the right mandibular canal, was successfully resolved with the use of ultrasonic surgery associated with a dynamic navigation, in order to limit the invasiveness of the surgical approach improving its reliability and accuracy. The usefulness of this technology in the management of MRONJ can be considered in future clinical trials to confirm the advantages and standardize the technique.https://www.mdpi.com/2409-9279/3/4/70MRONJdynamic navigationultrasonic instrumentation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gerardo Pellegrino Francesca Pavanelli Agnese Ferri Giuseppe Lizio Roberto Parrulli Claudio Marchetti |
spellingShingle |
Gerardo Pellegrino Francesca Pavanelli Agnese Ferri Giuseppe Lizio Roberto Parrulli Claudio Marchetti Ultrasonic Navigation for the Treatment of Medication-Related Jaw Osteonecrosis Involving the Inferior Alveolar Nerve: A Case Report and Protocol Review Methods and Protocols MRONJ dynamic navigation ultrasonic instrumentation |
author_facet |
Gerardo Pellegrino Francesca Pavanelli Agnese Ferri Giuseppe Lizio Roberto Parrulli Claudio Marchetti |
author_sort |
Gerardo Pellegrino |
title |
Ultrasonic Navigation for the Treatment of Medication-Related Jaw Osteonecrosis Involving the Inferior Alveolar Nerve: A Case Report and Protocol Review |
title_short |
Ultrasonic Navigation for the Treatment of Medication-Related Jaw Osteonecrosis Involving the Inferior Alveolar Nerve: A Case Report and Protocol Review |
title_full |
Ultrasonic Navigation for the Treatment of Medication-Related Jaw Osteonecrosis Involving the Inferior Alveolar Nerve: A Case Report and Protocol Review |
title_fullStr |
Ultrasonic Navigation for the Treatment of Medication-Related Jaw Osteonecrosis Involving the Inferior Alveolar Nerve: A Case Report and Protocol Review |
title_full_unstemmed |
Ultrasonic Navigation for the Treatment of Medication-Related Jaw Osteonecrosis Involving the Inferior Alveolar Nerve: A Case Report and Protocol Review |
title_sort |
ultrasonic navigation for the treatment of medication-related jaw osteonecrosis involving the inferior alveolar nerve: a case report and protocol review |
publisher |
MDPI AG |
series |
Methods and Protocols |
issn |
2409-9279 |
publishDate |
2020-10-01 |
description |
Dynamic navigation (DN) is a computer-guided technique employed in different surgical fields and recently adopted in dental implantology to improve the accuracy of dental implant insertion. Medication-related osteonecrosis of the jaws (MRONJ) often requires the surgical removal of the impaired, hard tissue, trying at the same time to spare the healthy tissue and the noble anatomical structures. A case of extensive bilateral medication-related osteonecrosis, with the symptomatic involvement of the right mandibular canal, was successfully resolved with the use of ultrasonic surgery associated with a dynamic navigation, in order to limit the invasiveness of the surgical approach improving its reliability and accuracy. The usefulness of this technology in the management of MRONJ can be considered in future clinical trials to confirm the advantages and standardize the technique. |
topic |
MRONJ dynamic navigation ultrasonic instrumentation |
url |
https://www.mdpi.com/2409-9279/3/4/70 |
work_keys_str_mv |
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