Implantes Dentários, Osteonecrose e Terapias Antirreabsortivas

from Mednews: notícias e debate sobre as melhores evidências científicas em medicina e saúde

Uma visão geral sobre a osteonecrose dos maxilares relacionada a medicamentos (MRONJ), focando especificamente em pacientes que utilizam medicamentos antirreabsortivos (AR) e que possuem ou planejam implantes dentários. Em suma, embora os implantes sejam um fator de risco local para MRONJ, o risco geral para pacientes com osteoporose é baixo, pois usam doses baixas de AR em comparação com pacientes oncológicos (esses sim com maior risco); portanto, evidência atual apoia a colocação de implantes sem a necessidade de parar a medicação.Referências:1-Antiresorptive Therapy to Reduce Fracture Risk and Effects on Dental Implant Outcomes in Patients With Osteoporosis: A Systematic Review and Osteonecrosis of the Jaw Taskforce Consensus Statement. Endocr Pract. 2025 May;31(5):686-698. doi: 10.1016/j.eprac.2025.02.016. 2-Medication-related osteonecrosis of the jaw following osteoporosis therapy: A real-world retrospective cohort study using the TriNetX global collaborative network. Bone. 2026 Jan;202:117678. doi: 10.1016/j.bone.2025.1176783-Medication-Related Osteonecrosis of the Jaws in Patients on Antiresorptive Medication With Dental Implants. A Scoping Review. Clin Oral Implants Res. 2025 Oct;36(10):1173-1201. doi: 10.1111/clr.14453.

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