Start practicing

Prosthodontics & Occlusion · single question

For MANAGEMENT OF MRONJ (medication-related osteonecrosis of the jaw) from bisphosphonates, what is the BEST approach?

  1. Immediate surgical resection of all necrotic bone
  2. Extract all adjacent teeth
  3. Hyperbaric oxygen therapy first-line
  4. Conservative management — debridement of necrotic tissue, antimicrobial rinses, antibiotics; refer to oral/maxillofacial surgeon; avoid aggressive surgery
Show answer and explanation

Correct answer: D. Conservative management — debridement of necrotic tissue, antimicrobial rinses, antibiotics; refer to oral/maxillofacial surgeon; avoid aggressive surgery

  • A. Immediate surgical resection is reserved for advanced cases and can worsen the condition if done aggressively.
  • B. Extracting adjacent teeth is generally avoided as it creates new extraction sites at risk for MRONJ.
  • C. Hyperbaric oxygen is used for osteoradionecrosis (radiation-induced), not typically first-line for MRONJ.
  • D. Correct. MRONJ management depends on the stage. The current approach favors CONSERVATIVE management: (1) gentle debridement of sequestrum, (2) CHX rinses, (3) systemic antibiotics (penicillin, metronidazole), (4) pain management, (5) referral to oral/maxillofacial surgeon for specialized management. Aggressive surgical resection can worsen MRONJ by exposing more bone. Stage III (severe cases with pathologic fractures) may require surgical intervention.

Practice Prosthodontics & Occlusion questions Prosthodontics & Occlusion study notes

More Prosthodontics & Occlusion practice questions