Conservative treatment of medication-related osteonecrosis of the jaw associated with a dental implant

Abstract

Osteonecrosis of the jaws is a serious adverse effect related with antiresorptive drugs, especially in patients
with osteoporosis and malignant tumors. This article presents a case report of a 56-year-old caucasian
woman with a history of osteoporosis treated with bisphosphonates who developed osteonecrosis of the
lower jaw associated with a dental implant. Treatment was mainly based on the administration of antibiotic
therapy, antibacterial mouthwashes and periodontal treatment. The aim of this paper was to report a case
of osteonecrosis of the jaw around a dental implant related to the use of ibandronic acid successfully treated
with conservative treatment including local application of minocycline.