Evidence map›Paper›PMID 40604946›Full record

ArticleBMC oral health2025

Qualitative radiographic characteristics of MRONJ-affected bone in oral and parenteral drug administration: comparison of panoramic radiography and cone-beam CT.

Elif Aslan, Erinc Onem, Ali Mert, B Guniz Baksi

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Elif AslanDepartment of Oral and Maxillofacial Radiology, Ege University School of Dentistry, Izmir, Turkey. aslanelif090@gmail.com.
Erinc OnemDepartment of Oral and Maxillofacial Radiology, Ege University School of Dentistry, Izmir, Turkey.
Ali MertDepartment of Engineering Sciences, Izmir Katip Celebi University School of Engineering and Architecture, Izmir, Turkey.
B Guniz BaksiDepartment of Oral and Maxillofacial Radiology, Ege University School of Dentistry, Izmir, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur aim was to compare the capacity of panoramic radiography (PR) and cone-beam computed tomography (CBCT) first for the detection of bone affected by medication-related osteonecrosis of the jaw (MRONJ) using qualitative radiographic parameters; and second for the evaluation of the relationship between drug administration route and associated bone changes.

methodsPR and CBCT images of 24 MRONJ patients using oral or intravenous (IV) bisphosphonates were scored for the detection of osteolysis, osteosclerosis, lamina dura thickening, periodontal ligament widening, persistent extraction socket, sequestration, periosteal new bone formation, narrowing of the inferior alveolar canal, pathologic fracture, and cortical bone erosion. Fisher’s Exact and independent samples t-tests were used for comparisons (p = 0.05).

resultsThe most frequent parameters observed in PR of all patients were osteosclerosis, osteolysis and cortical bone erosion, respectively. The equivalent rank in CBCT was cortical bone erosion, osteosclerosis and osteolysis. CBCT showed better diagnostic performance for the detection of periosteal new bone formation and cortical bone erosion in both oral and IV bisphosphonate groups (p < 0.05). No difference was obtained between the diagnostic performances of two imaging methods for the discrimination of the remaining parameters (p > 0.05). A higher number of radiographic markers were detected in both PR and CBCT images of patients using IV bisphosphonates (p > 0.05).

conclusionIn this study, the diagnostic performance of PR was comparable to CBCT for the detection of most of the qualitative radiographic markers of MRONJ-affected bone in patients using oral and IV bisphosphonates. However, CBCT may be preferred for the diagnosis of periosteal new bone formation, cortical bone erosion, and pathologic fracture.

Indexed as

Bisphosphonate-Associated Osteonecrosis of the JawBone Density Conservation AgentsCone-Beam Computed TomographyDiphosphonatesRadiography, PanoramicAdministration, OralAgedAged, 80 and overFemaleHumansMaleMiddle AgedOsteosclerosisBone Density Conservation AgentsDiphosphonatesCone-beam computed tomographyMedication-related osteonecrosis of the jawPanoramic radiography

Identifiers

PMID40604946
PMCPMC12225128

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