The role of bisphosphonates in medical oncology and their association with jaw bone necrosis

Ahmed Eid, Jennifer Atlas

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Bisphosphonates, synthetic analogues to inorganic pyrophosphates found in the bone matrix, inhibit bone resorption. Bisphosphonates and their related effects on the jaw have been established since 2001. The pathogenesis of bisphosphonate-related osteonecrosis of the jaw (BRONJ) is multifactorial and still under investigation. Currently, drugs with mechanisms of action involving remodeling suppression, osteoclast depression, and decreasing angiogenesis are under investigation for causing BRONJ-like symptoms. Further studies are needed to determine the effective length of use of biphosponates and the efficacy of drug holidays to prevent BRONJ.

Original languageEnglish (US)
Pages (from-to)231-237
Number of pages7
JournalOral and Maxillofacial Surgery Clinics of North America
Volume26
Issue number2
DOIs
StatePublished - May 2014

Keywords

  • Bisphosphonate-related osteonecrosis of the jaw
  • Bisphosphonates
  • Cancer
  • Jaw bone necrosis
  • Multiple myeloma
  • Oncology

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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