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Oral Surgery · single question

A patient on bisphosphonates develops MRONJ. Management includes all of the following EXCEPT:

  1. Surgical exploration/debridement
  2. Systemic antibiotics
  3. Chlorhexidine rinse
  4. Monitoring
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Correct answer: A. Surgical exploration/debridement

  • A. Correct — this is the EXCEPTION. Surgical exploration/aggressive debridement is CONTRAINDICATED in MRONJ because it can worsen bone exposure and delay healing. Conservative management is the mainstay.
  • B. Incorrect — IS part of management. Chlorhexidine rinse (0.12%) reduces bacterial load.
  • C. Incorrect — IS part of management. Systemic antibiotics manage infection in MRONJ.
  • D. Incorrect — IS part of management. Close monitoring is essential to assess progression or improvement.

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