The Pathology of Osteonecrosis of the Jaw and Risk Reduction Measures

Overall the patient had excellent homecare and was a Calculus Level One. There weren’t any risk factors discussed with this patient, but her concern about the throbbing in her upper jaw was addressed. Her general goal of the appointment was to keep her plaque score the same or lower since she was at 14%. She was a Periodontal Case Type Two based on the bleeding from probing, bone loss, and previous radiographs. The patient said she has been flossing more and is really trying to maintain her plaque score.

read this, about osteoporosis and its effect on the oral cavity. With this paper I hope to

Osteosarcoma(OS) is a primary malignant tumor of bone which is characterized by the formation of osteoid tissue. Although it is the most common malignancy of long bones after multiple myeloma [2], it is a relatively rarer entity in the craniofacial region. About 6% of Oss arise in the jaws .The estimated incidence of the new cases of Jaw OS (JOS) per year is 0 .07 in 100,000. (1) The etiology of OS is unknown, but some risk factors such as a previous history of ionizing radiation, alkylating agent, retinoblastoma and benign bone lesions such as paget disease and fibro osseous dysplasia have been associated with the development of head and neck OS.(2-4) JOS occur with a peak in the third through fifth decades of life. The mean age is

Excruciating jaw pain can be extremely hard to deal with on a daily basis. If you notice any pain, clicking, or popping in your jaw when you talk, chew, or yawn, you may be suffering from Temporomandibular Joint Syndrome, or TMJ. Gregory T. Grubba, DDS, understands how to treat TMJ symptoms. Their highly-trained staff in Anchorage, AK is committed to providing comfortable, affordable dental care for their patients. Whether you’re coming in for a filling or a routine teeth cleaning, you’ll always receive the highest quality treatments for your teeth at their practice!

Osteoporosis is a disease that decreases bone mass and strength and causes bones to become fragile. Osteoporosis affects almost 10 million individuals in the United States, but only a small proportion are diagnosed and treated (Lindsay & Cosman, para.1). In the early 19th century, Astley Cooper recognized the link between fractures and bone density reduction due to aging. French pathologist, Jean Lobstein, was the first person to name the disease and describe the pathological appearance and condition of osteoporosis (Who Discovered Osteoporosis, para.3). The term osteoporosis was derived from the Greek word osteon meaning bone and poros meaning passage or pore.

Today's medical physicians and oral physicians are taking a more holistic look at diseases of the human body and their origins: prolonged stress, poor diet, lack of spirituality and lack of exercise. However, a link was missing where oral health was concerned. Today, the connection of illnesses originating from the mouth and spreading to the rest of the body becomes all the more apparent with each passing

Infections originating from teeth or their supporting structures, known as odontogenic infections, are among the most common diseases in the oral and maxillofacial region, especially in developing countries. Previously, before the advent of antibiotics, tonsillar and peritonsillar infections were the source of infection in 70% cases of DNSI7; but now the most common cause is considered to be dental in origin. DNSI are usually polymicrobial in nature. Streptococci, Peptostreptococcus species, Staphylococcus aureus, and anaerobes are the most commonly cultured organisms from DNSI. Clinical manifestations of DNSI depend on the spaces involved, and include pain, fever, malaise, fatigue, swelling, odynophagia, dysphagia, trismus, dysphonia, otalgia, and dyspnea. Potentially life-threatening complications have been reported to occur at a rate of 10% to 20%, even in recent literature on DNSI cases.Common and potentially

Among patients with osteoporosis, the incidence of ONJ is estimated to be very low at 1 in 100,000 patient-years [3]. In fact, longitudinal clinical studies with more than 60,000 patient-years of exposure to bisphosphonate did not identify a case of ONJ [4]. Low risk of ONJ with BP has also been demonstrated by many systematic reviews. Since the risk factors of development of ONJ are poor dental hygiene, dental procedures, and pathological dental conditions, clinicians must emphasize their patients to maintain good oral hygiene and obtain regular oral exams. Dental issues if present should be addressed prior to initiation of bisphosphonate treatment. Recent guidelines from American Association of Clinical Endocrinologists/American College of Endocrinology (AACE/ACE) suggests considering stopping treatment as a precaution, in patients already taking BP and undergoing invasive dental procedures, although strong evidence to suggest that this measure will reduce the risk of ONJ is lacking [5]. Another worrisome adverse effect with the use of BP is atypical femur fracture (AFF). These fractures differ from typical fractures in terms of location in the subtrochanteric region and are often associated with no preceding trauma. Whether or not there is a causal relationship between AFF and BP use is unclear, but there is certainly an association as the risk of AFF increases with duration of treatment. The absolute risk, however still remains very low

Experiencing jaw clicking sounds, headaches, or ear pain? You might be suffering from TMJ syndrome—a condition caused by the injury of the temporomandibular joint that connects your jaw to your skull. If you have any of the said symptoms, schedule an appointment with a TMJ Dentist as soon as possible. Residents of the Upper West Side rely on Manhattan Dental: Donald Burger, D.D.S. for the treatment of periodontal disease, including TMJ syndrome. This practice also maintains the highest standards in giving patients top-level dental care.

Chronic periodontitis is a slowly progressive inflammatory disease that results in the destruction of periodontium (Armitage and Cullinan, 2010, Shaddox and Walker, 2010). It is characterized by clinical attachment greater than or equal to 5mm and radiographic evidence of alveolar bone loss (Cabanilla, Neely and Hernandez, 2008). Teeth with active periodontal

Larger examples may necessitate resection and reconstruction with a bone graft (Mintz & Velez, 2007). Because of the presence of a fibrous capsule, the tumour typically easily comes out in one piece from its bony crypt during curettage (Slootweg, 1996, Waldron, 1993). This tendency to shell out in one or a few pieces clinically differentiates OF from FocOD. Microscopically, the presence of a fibrous capsule separating the tumour from adjacent bone can be a useful distinguishing feature (Waldron, 1993). Recurrence rate is highly variable according to different studies. Some authors claim it is very low or inexistent (Brannon & Fowler, 2001, Waldron, 1985), while others have reported a 12-28% recurrence rate (Eversole et al., 1985a, MacDonald-Jankowski, 2009b). Until now, no microscopic feature distinguishes the tumours that have a higher risk of recurrence (Eversole et al., 1985a). Long-term radiographic follow-up is therefore recommended for patients with OF. For cases with rapid growth, a tendency to recur, especially affecting children, a diagnosis of juvenile ossifying fibroma (JOF) should be considered. Hyperparathyroidism-jaw tumour syndrome, a rare autosomal dominant syndrome caused by mutations in the tumour suppressor gene HRPT2, should be suspected in patients presenting OF of the jaws, familial hyperparathyroidism, renal cysts and Wilms tumours (Chen et al.,

Orthodontic problems include excessive wear of gum tissue and dental surfaces. This can affect chewing function and cause misalignment of the jaw. Misalignment may also affect the underlying bone

There is now evidence to indicate; however, that the incidence of jaw lesions is proportionately far greater than this study would indicate. It is now recognized that some

Periodontitis is an infectious disease that affects all organs of the tooth structure: gums, root surface, bone and ligaments that tooth is attached to the bone. Periodontitis begins inconspicuously as gingivitis, which is manifested mainly by bleeding. Later, the inflammation spreads to the depth and results in a progressive loss of bone. Gums begin to recede, the roots of the teeth is exposed arise periodontal swelling and pus. Teeth start to wobble, spacing and release. The decisive factor is the quality of oral hygiene, not

When it comes to oral health, General dentists are the main dental care providers. Being highly trained and educated on various and numerous dental procedures, general dentists can diagnose and treat any oral health issues, ensuring a patient’s overall oral health. According to the American Dental Association (ADA), a patient’s general dentist takes responsibility for the “evaluation, diagnosis, prevention and/or treatment (nonsurgical, surgical or related procedures) of diseases, disorders and/or conditions of the oral cavity, maxillofacial area and/or the adjacent and associated structures and their impact on the human body” (2016). In the case in which a specialized