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Oral Surgery · single question

What is the appropriate initial management of this MRONJ?

  1. Conservative care (antimicrobial rinse, antibiotics if infected, no aggressive surgery)
  2. Immediate wide surgical resection
  3. Hyperbaric oxygen first-line
  4. Do nothing
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Correct answer: A. Conservative care (antimicrobial rinse, antibiotics if infected, no aggressive surgery)

  • A. Correct. Early MRONJ is managed conservatively: antibacterial rinses (chlorhexidine), antibiotics for infection, analgesia, and avoiding unnecessary surgical exploration.
  • B. Aggressive surgery is reserved for advanced/refractory stages, not initial conservative management.
  • C. Hyperbaric oxygen is not established first-line for MRONJ (unlike osteoradionecrosis).
  • D. The condition requires active conservative management, not neglect.

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