1. Adjuvant therapies in the management of medication‐related osteonecrosis of the jaws: Systematic review.
- Author
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Souza Tolentino, Elen, Castro, Tamara F., Michellon, Felipe C., Passoni, Ana C. C., Ortega, Lorena J. A., Iwaki, Lilian C. V., and Silva, Mariliani C.
- Subjects
HYPERBARIC oxygenation ,META-analysis ,OSTEONECROSIS ,PLATELET-rich plasma ,JAWS ,CLINICAL trials - Abstract
Background: We investigated the efficacy of hyperbaric oxygen (HBO), low‐intensity laser (LIL), and platelet‐rich plasma (PRP) in the management of medication‐related osteonecrosis of the jaws (MRONJ). Methods: A literature search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement. Two examiners independently assessed eligibility and risk of bias and extracted data. Results: There was improvement in 75.6% of the 41 patients submitted to HBO, with positive effects on pain relief and decreased size and number of lesions at a faster rate, with better effects when the drug was discontinued. For LIL, 158 (64.2%) of the 246 patients/sites improved the symptoms and 98 (39.8%) healed completely. Fourteen (17.3%) of the 81 patients treated with PRP significantly improved the symptoms and 65 (80.2%) completely healed. Conclusions: These therapies served as safe and effective adjuvant modalities for MRONJ treatment. The lack of randomized clinical trials evidences the need for more high‐quality investigations on the subject. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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