alexa Endodontic Re-treatment of a Tooth with a Floor Perfora
ISSN: 2329-9126

Journal of General Practice
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Case Report

Endodontic Re-treatment of a Tooth with a Floor Perforation in a Patient in Treatment with Oral Bisphosphonate

Mario Dioguardi1, Giuseppe Troiano1* , Giorgia Apollonia Caloro2, Armando Cocco1, Giorgia Capocasale3, Gianluca Iadarola1 and Lorenzo Lo Muzio1

1Department of Clinical and Experimental Medicine, University of Foggia, Italy

2Department of Emergency and Organ Transplantation - Nephrology, Dialysis and Transplantation Unit, University of Bari, Bari, Italy

3Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy

*Corresponding Author:
Dr. Giuseppe Troiano
Via Rovelli, 50
71122 Foggia
Tel: +393488986409
E-mail: [email protected]

Received date: Apr 20, 2016; Accepted date: May 23, 2016; Published date: May 30, 2016

Citation: Dioguardi M, Troiano G, Caloro GA, Cocco A, Capocasale, et al. (2016) Endodontic Re-treatment of a Tooth with a Floor Perforation in a Patient in Treatment with Oral Bisphosphonate. J Gen Practice 4: 252. doi:10.4172/2329-9126.1000252

Copyright: © 2016 Dioguardi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Prevention of bisphosphonate related osteonecrosis of the jaws (BRONJ) represents an important challenge for clinicians. Dent alveolar surgery is usually performed to reduce the risk local and systemic complications, In fact, removing the tooth that is the source of the infectious outbreak, brings to the removal of the infected tissue and determines a correct healing of the disease. However, in patients are undergoing bisphosphonate this procedure expose patients to an increased risk of BRONJ. However, in patients who are in treatment with systemic bisphosphonates, this procedure exposes them to an increased risk of BRONJ. When possible, avoid the surgical interventions in favors of endodontic treatment could be an important clinical options in reducing the possibility of BRONJ occurrence. In this paper, we report a case of endodontic re-treatment in a tooth with a floor perforation in a patient was assuming oral alendronate. Limits and advantages of performing endodontic retreatment for the prevention of BRONJ development have still not well elucidated. Due to the very low power of this study, no conclusions should be made to perform an endodontic retreatment instead of performing a tooth extraction. However, this case report support the execution of future studies related to the calculation of BRONJ incidence after surgical extraction vs endodontic retreatment.


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