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Conference PPT (5 MB) - Institute for Oral Health

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Risk of Osteonecrosis of the Jaw <strong>for</strong><br />

Patients Taking Bisphosphonates<br />

• Risk <strong>for</strong> developing ONJ with IV bisphosphonates<br />

is ~10-12% 12% (multiple myeloma, breast CA-any CA<br />

metastatic to bone; drugs control osteoclasts).<br />

• Risk <strong>for</strong> developing ONJ with oral bisphosphonates<br />

is less than 1%.<br />

• Lower risk <strong>for</strong> ONJ in first 6 months of IV therapy;<br />

first 3 years of oral treatment.<br />

Source: Migliorati, CA, JA Casiglis, J. Epstein, PI Jacobsen, MA Siegel, SB Woo.<br />

Managing the care of patents with bisphospnhonate-associated associated osteonecrosis:<br />

An American Academy of <strong>Oral</strong> Medicine position paper. JADA 136(12):1658<br />

):1658-68, 68,<br />

2005.

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