2017, Number 5
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Rev ADM 2017; 74 (5)
Clinical protocol for patients with history of use of bisphosphonates
Rivas BC, Cedillo FVM
Language: Spanish
References: 23
Page: 252-260
PDF size: 333.65 Kb.
ABSTRACT
Bisphosphonates are a group medications that have been used for the last decades for the treatment of conditions that are characterized by bone loss or destruction, cancer, menopause and non-malignant bone diseases, which is why it is very important to make a broad and correct medical history to avoid the possible complications in the healing phase of dental surgical treatments. When treating a patient with a history of this drug we should know the pharmacokinetics and pharmacodynamics to be able to plan the pre, trans and postoperative treatment of patients mainly subject to dental extractions, which is why currently this type of patients can be classified according to the results of the laboratory test of the C-Telopeptide protein. Once the patient’s risk has been determined according to the results of this test, an effective and safe treatment plan can be started for the patient in which the necessary precautions are taken to not develop a mandibular or maxillary osteonecrosis. We present a case of a patient with a history of bisphosphonates where the treatment is done according to the current guidelines for treating this type of patients.
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