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Osteonecrosis of the jaw (ONJ) is a severe bone disease (osteonecrosis) that affects the jaws (the maxilla and the mandible). Various forms of ONJ have been described since 1861, and a number of causes have been suggested in the literature.
Treatment with antibiotics has significantly altered the natural history of OM of the jaws. Today, however, the condition is often a hidden infection, due in part to not being visible on most dental X-rays unless there is a substantial loss of bone density.
Socket preservation or alveolar ridge preservation is a procedure to reduce bone loss after tooth extraction. [1] [2] After tooth extraction, the jaw bone has a natural tendency to become narrow, and lose its original shape because the bone quickly resorbs, resulting in 30–60% loss in bone volume in the first six months. [3]
Orthognathic surgery (/ ˌ ɔːr θ ə ɡ ˈ n æ θ ɪ k /), also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and lower face related to structure, growth, airway issues including sleep apnea, TMJ disorders, malocclusion problems primarily arising from skeletal disharmonies, and other orthodontic dental bite problems that cannot ...
Although the methods of action are not yet completely understood, it is hypothesized that medication-associated osteonecrosis of the jaw is related to a defect in jaw bone healing and remodelling. The inhibition of osteoclast differentiation and function, precipitated by drug therapy, leads to decreased bone resorption and remodelling.
The symptoms are necrosis of the mandible (lower jawbone) and the maxilla (upper jaw), constant bleeding of the gums, and (usually) after some time, severe distortion due to bone tumors and porosity of the lower jaw. Symptoms also include soreness throughout the body, significant decrease in body weight and loss of teeth.
A Le Fort I osteotomy surgically moves the upper jaw to correct misalignment and deformities. It is used in the treatment for several conditions, including skeletal class II malocclusion, cleft lip and cleft palate, vertical maxillary excess (VME) or deficiency, and some specific types of facial trauma, particularly those affecting the mid-face.
For these patients, dental prophylaxis and regular monitoring are the primary recommended treatment steps which will help prevent future risk of infection. [8] Symptomatic patients may receive treatment options that include surgical curettage with bleeding stimulation or pulp vitality testing in areas showing periapical inflammation.