Evidence map›Paper›PMID 35407415›Full record

ArticleJournal of clinical medicine2022

Minimizing MRONJ after Tooth Extraction in Cancer Patients Receiving Bone-Modifying Agents.

Gal Avishai, Daniel Muchnik, Daya Masri, Ayelet Zlotogorski-Hurvitz, Liat Chaushu

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
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  8. Review
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  11. Review
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  13. Article
  14. Potential Relationship between Poor Oral Hygiene and MRONJ: An Observational Retrospective Study.International journal of environmental research and public health · 2023
    Observational
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

5 authors at 2 institutions in 1 country.

Gal AvishaiDepartment of Oral and Maxillofacial Surgery, Rabin Medical Center-Beilinson Hospital, Petach Tikva 49414, Israel.
Daniel MuchnikDepartment of Oral and Maxillofacial Surgery, Rabin Medical Center-Beilinson Hospital, Petach Tikva 49414, Israel.
Daya MasriDepartment of Oral and Maxillofacial Surgery, Rabin Medical Center-Beilinson Hospital, Petach Tikva 49414, Israel.
Ayelet Zlotogorski-HurvitzDepartment of Oral and Maxillofacial Surgery, Rabin Medical Center-Beilinson Hospital, Petach Tikva 49414, Israel.ORCID 0000-0002-5478-1338
Liat ChaushuDepartment of Periodontology and Oral Implantology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 69978, Israel.ORCID 0000-0002-5755-7526
Tel Aviv University · ILRabin Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication-related osteonecrosis of the jaws (MRONJ) is a mucosal lesion of the maxillofacial region with necrotic bone exposure. MRONJ is believed to be multifactorial. Tooth extraction is debatably a risk factor for MRONJ. The targets of the present study were to examine MRONJ occurrence in patients using bone modifying agents (BMAs) for oncology indications and undergoing a dental extraction, and to assess whether suspected predisposing factors can predict MRONJ. MATERIALS AND

methodsThis retrospective, cohort study included all patients fitting the inclusion criteria and a large tertiary medical center. Data were obtained from the hospital's medical records using a structured questionnaire.

resultsWe performed 103 extractions on 93 patients. Local inflammation/infection of the extraction site was most associated with a complication (

conclusionLocal inflammation/infection and onset of BMA treatment prior to extraction yield a 10.23 times higher chance of developing MRONJ following tooth extraction. Future protocols should use this information to minimize MRONJ incidence.

Indexed as

dental extraction complicationsMRONJoral surgery in oncology

Identifiers

PMID35407415
PMCPMC8999581
OpenAlexW4220818110

What OpenQuestion holds

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LicenceCC BY
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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.