Osteonecrosis of the jaw classification
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Overview
Classification[1][2]
- Stage 0: Patients who present with unspecific symptoms or radiographic findings but without clinical evidence of necrosis.
- Symptoms:
- Dull pain in the mandible body which can radiate to the temporomandibular joint
- Unexplained odontalgia
- Maxillary sinus pain
- Altered mental status
- Clinical findings
- Not caries associated periapical or periodontal fistula
- Unexplained loosening of the teeth
- Radiographic findings
- Trabecular pattern changes
- Thickening of the periodontal ligament
- Osteosclerosis regions which involves alveolar bone and the basilar bone
- Alveolar bone loss or resorption
- Stage 1: Asymptomatic patients, without infection evidence who present an exposed necrotic bone or fistula. Radiographic findings mentioned above can be found in patients with stage 1
- Stage 2: Patients with exposed necrotic bone or fistula and signs of infection, usually symptomatic. Radiographic findings mentioned above can be found in patients with stage 2
- Stage 3: Patients with the characteristics of stage 2 plus one or more of the following conditions:
- Pathologic fracture
- Osteolisis which reaches the sinus floor or the external border of the mandible
- Orocutaneos fistula
- Comunication with the maxillary sinus (oroantral) or the nose (oronasal)
References
References
- ↑ “http://www.aaoms.org/docs/position_papers/mronj_position_paper.pdf?pdf=MRONJ-Position-Paper” (PDF). External link in
|title=(help) - ↑ Bedogni, A.; Fusco, V.; Agrillo, A.; Campisi, G. (2012). “Learning from experience. Proposal of a refined definition and staging system for bisphosphonate-related osteonecrosis of the jaw (BRONJ)”. Oral Dis. 18 (6): 621–3. doi:10.1111/j.1601-0825.2012.01903.x. PMID 22353421. Unknown parameter
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