Evidence map›Paper›PMID 40918820›Full record

ArticleCureus2025

Spontaneous Bone Regeneration ("Phoenix Jaw" Phenomenon) Following Segmental Mandibulectomy for Stage 3 Medication-Related Osteonecrosis of the Jaw: A Case Report.

Kiyosato Hino, Shogo Kikuta, Jingo Kusukawa

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Kiyosato HinoDental and Oral Medicine, Kurume University School of Medicine, Kurume, JPN.
Shogo KikutaDental and Oral Medicine, Kurume University School of Medicine, Kurume, JPN.
Jingo KusukawaDental and Oral Medicine, Kurume University School of Medicine, Kurume, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Segmental mandibulectomy is a valid treatment for advanced medication-related osteonecrosis of the jaw (MRONJ), but subsequent reconstruction is challenging. Spontaneous bone regeneration (SBR) following resection is exceedingly rare, particularly in the elderly. We present the case of a 63-year-old woman with stage 3 MRONJ who underwent a 60 mm segmental mandibulectomy. The defect was reconstructed with a titanium plate, with meticulous preservation of the periosteum. Over a three-year follow-up period, serial imaging demonstrated progressive and substantial bone regeneration along the plate, resulting in a robust, continuous mandibular segment without any bone grafting. This case highlights that SBR, a phenomenon metaphorically termed the "Phoenix jaw," can occur even in older patients with advanced MRONJ, challenging conventional expectations regarding bone regeneration in this patient population.

Indexed as

medication-related osteonecrosis of the jawmronjphoenix jaw phenomenonsegmental mandibulectomyspontaneous bone regeneration

Identifiers

PMID40918820
PMCPMC12409754

What OpenQuestion holds

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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.