A patient taking an antiresorptive drug for osteoporosis has exposed bone in the mandible that has not healed. She has no history of radiation therapy to the jaws or metastatic disease in the jaws. For how long must the exposed bone persist to meet the AAOMS definition of medication-related osteonecrosis of the jaw (MRONJ)?

  • Correct answer

    More than 8 weeks

  • More than 2 weeks

  • More than 4 weeks

  • More than 6 months

This question is one of 15 in AFK practice: Oral surgery, trauma and orofacial pain. Test yourself on all of them.

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Explanations

  • The AAOMS defines MRONJ as exposed bone, or bone that can be probed through a fistula, in the maxillofacial region that has persisted for more than 8 weeks. The patient must also have current or previous antiresorptive or antiangiogenic therapy and no history of jaw radiation or metastatic disease in the jaws.

    Source: AAOMS Position Paper on Medication-Related Osteonecrosis of the Jaws (2022 Update) — oneguy

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