Evidence map›Paper›PMID 33717086›Full record

ReviewFrontiers in immunology2021

The Role of the Immune Response in the Development of Medication-Related Osteonecrosis of the Jaw.

Weidong Zhang, Ling Gao, Wenhao Ren, Shaoming Li, Jingjing Zheng, Shasha Li, Chunmiao Jiang, Shuying Yang, Keqian Zhi

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 4% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  14. Mesenchymal Stem Cells in Socket Healing and MRONJ.Orthodontics & craniofacial research · 2025
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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

9 authors at 4 institutions in 2 countries.

Weidong ZhangDepartment of Oral and Maxillofacial Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Ling GaoDepartment of Oral and Maxillofacial Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Wenhao RenDepartment of Oral and Maxillofacial Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Shaoming LiDepartment of Oral and Maxillofacial Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Jingjing ZhengKey Laboratory of Oral Clinical Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China.
Shasha LiDepartment of Stomatology, Binzhou People'Hospital, Binzhou, China.
Chunmiao JiangDepartment of Orthodontics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Shuying YangDepartment of Anatomy and Cell Biology, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Keqian ZhiDepartment of Oral and Maxillofacial Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Affiliated Hospital of Qingdao University · CNQingdao University · CNBinzhou People's Hospital · CNUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication-related osteonecrosis of the jaw (MRONJ) is a rare but serious adverse drug effect. There are multiple hypotheses to explain the development of MRONJ. Reduced bone remodeling and infection or inflammation are considered central to the pathogenesis of MRONJ. In recent years, increasing evidence has shown that bisphosphonates (BPs)-mediated immunity dysfunction is associated with the pathophysiology of MRONJ. In a healthy state, mucosal immunity provides the first line of protection against pathogens and oral mucosal immune cells defense against potentially invading pathogens by mediating the generation of protective immunoinflammatory responses. In addition, the immune system takes part in the process of bone remodeling and tissue repair. However, the treatment of BPs disturbs the mucosal and osteo immune homeostasis and thus impairs the body's ability to resist infection and repair from injury, thereby adding to the development of MRONJ. Here, we present the current knowledge about immunity dysfunction to shed light on the role of local immune disorder in the development of MRONJ.

Indexed as

AnimalsBiomarkersBone Density Conservation AgentsCytokinesDiphosphonatesDisease SusceptibilityDrug-Related Side Effects and Adverse ReactionsHumansImmunity, MucosalInflammation MediatorsJawMucous MembraneOsteogenesisOsteonecrosisSignal TransductionWound HealingBiomarkersBone Density Conservation AgentsCytokinesDiphosphonatesInflammation Mediatorsbisphosphonatesimmunityinflammationjawosteonecrosis

Identifiers

PMID33717086
PMCPMC7947359
OpenAlexW3132402923

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.