⚠️💡Sabes por qué es tan importante el conocer en nuestros pacientes: Qué medicación, vía de administración, dosis y antecedentes médicos? antes de realizar un procedimiento quirúrgico???Osteonecrosis de los Maxilares Relacionada con Medicación (ONMRM). Los bifosfonatos han sido utilizados exitosamente para tratar enfermedades como el cáncer de mama, mieloma múltiple, metástasis ósea, osteoporosis y otras. Se ha venido estudiando, realizando consensos y campañas de divulgación e información en donde se establece la relación entre el procedimiento quirúrgico (injuria) y su asociación como un factor de riesgo para ONRM en pacientes con este tratamiento. El mecanismo de acción consiste en la inhibición de la resorción osteoclástica del hueso, destrucción progresiva del tejido óseo, siendo uno de los peores efectos adversos de este tipo de tratamiento. La administración endovenosa del medicamento aumenta considerablemente la incidencia cuando la administración ha sido superior a 3 años. Cada día en nuestras consultas es mayor la cantidad de pacientes que están consumiendo esta medicación sin tener una indicación absoluta, o teniéndola… no conocen las posibles complicaciones que pueden padecerse.💡⚠️Do you know why it is so important to know in our patients: What medication, route of administration, dose and medical history? before performing a surgical procedure??? Osteonecrosis of the jaws. Biphosphonates have been used successfully to treat diseases such as breast cancer, multiple myeloma, bone metastasis, osteoporosis and other. The entity has been studied, making consensus and information campaigns where the relationship between the surgical procedure (injury) and its association as a risk factor for MRONJ in patients was established. The mechanism of action consists: the inhibition of bone osteoclastic resorption, progressive destruction of bone tissue, being one of the worst adverse effects of this type of treatment. The intravenous administration of the drug considerably increases the incidence when the administration has been longer than 3 years. Every day in our consultations is greater the number of patients who are taking this medication without having an absolute indication, or having it … do not know the possible complications that may occur.
Edgar Cabrera Maxilofacial
Odontólogo especialista en el área de Cirugía Bucal y Maxilofacial ha demostrado siempre gran afinidad al área de la Implantología Oral Avanzada, con una filosofía de trabajo dirigida a la restitución, recuperación y regeneración de tejidos perdidos siempre tratando de brindar cambios estéticos que sean funcionales y longevos en el tiempo.
Hola Doctor. Soy estudiante de postgrado de Odontología Hospitalaria, y estoy haciendo un trabajo sobre Osteonecrosis. Me gustaría su permiso para utilizar su foto. Grata.
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