WHAT's the TRUE RISK of MRONJ after TOOTH EXTRACTION?? MEDICATION RELATED OSTEONECROSIS OF THE JAW

This is a question I get all the time: What is my risk of MRONJ after a tooth extraction? The relative risk is low, but there are so many patients on antiresorptive medications that I see MRONJ on a regular basis. Today on the channel, we'll take a deep dive into Medication Related Osteonecrosis of the Jaw. We'll discuss definitions, actual statistical risks, prevention, drug holidays, and more! Watch ‪@OpenReductionOralSurgery‬ with Dr. Tom Bolten for everything Oral and Maxillofacial Surgery! #oralsurgeon #oralsurgeon #maxillofacialsurgeon #dentaleducation #dentalstudenteducation #drbolten #maxillofacialsurgery #medicaleducation #medicalstudent #dentalinfluencer #dentist #MRONJ #bonedisease #complications

[@garykitzis1335]

Speaking as a periodontist, that was an excellent summary of just about everything you need to know before treating patients at risk for MRONJ. Great job.

[@OpenReductionOralSurgery]

Thank you very much doc! It is great to get feedback from colleagues, appreciate you watching!

[@maureenmcdonald8714]

Thank you so much, the best video on this subject I've found. I'm just about to go to hospital for 2 extractions on my lower jaw and I'm on prolia for osteoporosis. I was really thinking about stopping prolia altogether as Im terrified of ONJ and none of this has been explained to me by either my gp or dentist so now I know the risks are low will probably carry on with prolia. I've been on it for 5 years and now know just how important it is to know the facts and figures.

[@OpenReductionOralSurgery]

I'm glad you liked the video, best of luck with your procedure!

[@ijustrealllylikecats]

I just recently experienced osteonecrosis after full mouth extractions. My denture was digging in and caused a deep ulceration with a 1cm area of exposed bone on the bottom lingual area. After about 4 weeks, the exposed area separated off, and was able to be easily pulled out. Behind it was a bunch of granulation tissue that had grown in between the jawbone and the sequestered piece. The granulation tissue bled and was red and swollen for a few days but completely healed within another 2 weeks. (my dentist and oral surgeon kept an eye on the entire process)

[@OpenReductionOralSurgery]

I'm happy to hear everything has healed well. It sounds like you are in the care of excellent practitioners. Thanks for the comment and thanks for watching!

[@snikidypikidy2997]

Do you have a copy of that information in the form of a handout so that patients can take it home, read it, and think about it?

[@OpenReductionOralSurgery]

Thanks for the question! I do discuss the risk of MRONJ and poor healing with patients who have a history of antiresorptives, and we have a separate consent form. My patients are able to take home this form to review. I also point them to this video, which is one of the reasons I made it.

[@johnnikas7559]

If I have to endure a tortuous Biden commercial again!!