Evidence map›Paper›PMID 31011580›Full record

ArticleBioMed research international2019

Medication-Related Osteonecrosis of the Jaws: Two Center Retrospective Cohort Studies.

Milan Petrovic, Drago B Jelovac, Svetlana Antic, Marija Antunovic, Nikola Lukic, Melvil Sabani, Joerg Mudrak, Zoran Jezdic, Ana Pucar, Aleksandar Stefanovic and 3 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Prognostic indicators in medication-related osteonecrosis of the jaw: A systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  2. Is teriparatide therapy effective for medication-related osteonecrosis of the jaw? A systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Pooled it
  3. Drug-related jaw osteonecrosis: a 6-year retrospective study from two centers in Argentina.Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2025
    Article
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  7. How we manage medication-related osteonecrosis of the jaw.European journal of medical research · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 2 countries.

Milan PetrovicClinic for Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Serbia.
Drago B JelovacClinic for Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Serbia.ORCID 0000-0002-4236-4967
Svetlana AnticCenter for Radiological Diagnostics, School of Dental Medicine, University of Belgrade, Serbia.
Marija AntunovicFaculty of Medicine, Clinical Centre of Montenegro, Podgorica, Montenegro.
Nikola LukicFaculty of Medicine, University of Belgrade, Serbia.
Melvil SabaniClinic for Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Serbia.
Joerg MudrakJoerg Mudrak, Private Clinic, Rotenburg an der Fulda, Germany.
Zoran JezdicClinic for Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Serbia.
Ana PucarClinic for Periodontology and Oral Medicine, School of Dental Medicine, University of Belgrade, Serbia.
Aleksandar StefanovicClinic for Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Serbia.
Cedomir KuzmanovicClinic for Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Serbia.
Danilo NikolicClinic for Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Serbia.
Vitomir KonstantinovicClinic for Maxillofacial Surgery, School of Dental Medicine, University of Belgrade, Serbia.
University of Belgrade · RSUniversity of Montenegro · ME

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective cohort study aims to describe characteristics of patients with MRONJ, to identify factors associated with MRONJ development, and to examine variables associated with favourable outcome. Totally 32 patients were followed and observed: 21 females and 11 males, in the age range 35-84 in the period from 2009 to 2018. Clinical, radiological examination (Orthopantomograph and CBCT) and biopsy were performed in order to achieve diagnosis. Demographic and clinical variables were taken into consideration: sex, age, primary disease, medication type, mode of delivery, anatomic location, drug treatment duration, timing of tooth extraction, chemotherapy, presence of bone metastasis, aetiology of MRONJ, disease stage, and treatment modality. MRONJ developed under osteoporosis and malignant disease in 11 and 21 patients, respectively. MRONJ development was triggered by tooth extraction or trauma in 30 out of 32 cases, whereas the two patients developed MRONJ spontaneously. Stages I, II, and III were confirmed in 5 (16%), 18 (58%), and 9 (28%) patients, respectively. Mandible was affected in 23 (72%) patients. MRONJ was treated in our department by conservative and surgical modality. In this study we found that 65% of all patients were classified in the cured/improvement group and 35% in the stable/progression group. The female gender, osteoporosis as primary disease, oral regime intake, shorter period on BPs, earlier stage of disease, and specific anatomic localisation (frontal and premolar maxilla) were factors associated with better response to therapy and favourable clinical outcome. Comprehensive treatment protocol and further randomized studies are necessary for further improvements.

Indexed as

AdultAgedAged, 80 and overBisphosphonate-Associated Osteonecrosis of the JawBone Density Conservation AgentsBone NeoplasmsDiphosphonatesFemaleHumansMaleMiddle AgedOsteoporosisRadiography, PanoramicRetrospective StudiesRisk FactorsTooth ExtractionBone Density Conservation AgentsDiphosphonates

Identifiers

PMID31011580
PMCPMC6442486
OpenAlexW2922180889

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.