Evidence map›Paper›PMID 41777627›Full record

ArticleCase reports in dentistry2026

A Case of Extensive Maxillary Medication-Related Osteonecrosis of the Jaw With Wound Closure Using a Pedicled Buccal Fat Pad.

Ryohei Iwasaki, Karen Gomi, Yusuke Kurosawa, Akinori Moroi, Kunio Yoshizawa, Koichiro Ueki

Abstract read
In one paragraph

Article in Case reports in dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
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

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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Ryohei IwasakiDepartment of Oral and Maxillofacial Surgery, Division of Medicine, Interdisciplinary Graduate School, University of Yamanashi, Chuo, Yamanashi, Japan, yamanashi.ac.jp.ORCID https://orcid.org/0009-0007-6704-0735
Karen GomiDepartment of Oral and Maxillofacial Surgery, Division of Medicine, Interdisciplinary Graduate School, University of Yamanashi, Chuo, Yamanashi, Japan, yamanashi.ac.jp.
Yusuke KurosawaDepartment of Oral and Maxillofacial Surgery, Division of Medicine, Interdisciplinary Graduate School, University of Yamanashi, Chuo, Yamanashi, Japan, yamanashi.ac.jp.ORCID https://orcid.org/0009-0004-0306-7822
Akinori MoroiDepartment of Oral and Maxillofacial Surgery, Division of Medicine, Interdisciplinary Graduate School, University of Yamanashi, Chuo, Yamanashi, Japan, yamanashi.ac.jp.ORCID https://orcid.org/0000-0002-5549-0911
Kunio YoshizawaDepartment of Oral and Maxillofacial Surgery, Division of Medicine, Interdisciplinary Graduate School, University of Yamanashi, Chuo, Yamanashi, Japan, yamanashi.ac.jp.
Koichiro UekiDepartment of Oral and Maxillofacial Surgery, Division of Medicine, Interdisciplinary Graduate School, University of Yamanashi, Chuo, Yamanashi, Japan, yamanashi.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reports of extensive medication-related osteonecrosis of the jaw (MRONJ) with pedicled buccal fat pad wound closure without tissue reconstruction are rare. We present the case of a 78-year-old man with prostate cancer and extensive MRONJ on the left side of the maxilla. The patient was treated with denosumab for the multiple bone marrow and lymph node metastases. Aggressive resection of the infected bone should be considered to prevent the spread of the infection if it extends into the maxillary sinus. In cases of extensive removal of decayed bone, jaw reconstruction is necessary to address the bone defect because it impairs the ability to eat, speak, and communicate. However, it was possible to close the wound and improve oral function by using a pedicled buccal fat pad for extensive MRONJ without maxillary reconstruction.

Identifiers

PMID41777627
PMCPMC12951117

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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.