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Treatment guidelines

BRONJ / ARONJ

Key points

  • Biphosphonates (BP) may predispose to ‘bisphosphonate-related osteonecrosis of the jaw’ (BRONJ)
  • BRONJ is similar to osteonecrosis, and is usually identified by the appearance of exposed bone in the oral cavity
  • BRONJ is difficult to treat. If patient is diagnosed with BRONJ, advice and cooperation with entire involved dental and medical rehabilitation team is critical
  • The term ARONJ (Antiresorptive drug related osteonecrosis of the jaw) presently replaces the term BRONJ

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