Evidence map›Paper›PMID 39329874›Full record

ReviewDiseases (Basel, Switzerland)2024

Medication-Related Osteonecrosis of the Jaw: A Systematic Review of Case Reports and Case Series.

Filipa Frutuoso, Filipe Freitas, Miguel Vilares, Helena Francisco, Duarte Marques, João Caramês, André Moreira

Abstract readReview
In one paragraph

Review in Diseases (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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.

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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

7 authors.

Filipa FrutuosoFaculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, Portugal.
Filipe FreitasDepartment of Oral Surgery and Oral Medicine, Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, Portugal.
Miguel VilaresDepartment of Head and Neck Surgery, Instituto Português de Oncologia de Lisboa, 1099-023 Lisbon, Portugal.
Helena FranciscoDepartment of Oral Surgery and Oral Medicine, Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, Portugal.
Duarte MarquesOral Biology and Biochemistry Research Group, Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, Portugal.ORCID 0000-0003-1966-8281
João CaramêsDepartment of Oral Surgery and Oral Medicine, Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, Portugal.ORCID 0000-0002-5544-3744
André MoreiraDepartment of Oral Surgery and Oral Medicine, Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisbon, Portugal.ORCID 0000-0001-6699-1626

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication-related osteonecrosis of the jaw (MRONJ) is a rare condition, typically seen in patients receiving antiresorptive or antiangiogenic drugs. This study aims to synthesize reports and case series of MRONJ regarding sociodemographic and clinical characteristics and to evaluate the effectiveness of the treatments applied. Following PRISMA guidelines, a search for case reports and case series was carried out in the PubMed-Medline database until March 2024. A total of 88 articles were included in this review, in a total of 151 cases. The key findings reveal that females were the most affected individuals (71% of the cases) with the average age at diagnosis being 66.27 years with a standard deviation of ±13.03. Stage 2 was the most observed stage, in 43% of cases, and zoledronic acid was the most commonly used drug (32% of cases). The oral route was the most common route of administration, in 26% of cases, with an average administration duration of 60.88 months (standard deviation ± 50.92). The mandible was the most commonly affected anatomical location (in 60% of cases). Amoxicillin + clavulanic acid (875 mg + 125 mg) and chlorhexidine (0.12%) were the most used antibiotics and mouthwash, with 16% and 26% of the cases, respectively. Surgical debridement was the most common surgical procedure, in 32% of cases, while the use of an L-PRF membrane was the most prevalent unconventional treatment, in 21% of cases. This study identified a statistically significant relationship between unconventional treatments and the cure of MRONJ (

Indexed as

jawmedicationMRONJosteonecrosis

Identifiers

PMID39329874
PMCPMC11431443

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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.