Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital

Apical surgery in cancer patients receiving high-dose antiresorptive medication-a retrospective clinical study with a mean follow-up of 13 months

Publikation: Bidrag til tidsskriftTidsskriftartikelpeer review


  1. Ten-year retrospective study of head and neck carcinoma in situ: incidence, treatment, and clinical outcome

    Publikation: Bidrag til tidsskriftTidsskriftartikelpeer review

  1. Implant treatment after traumatic tooth loss: A systematic review

    Publikation: Bidrag til tidsskriftReviewpeer review

  2. Bone Regeneration in Membrane-Protected Defects

    Publikation: Bidrag til bog/antologi/rapportBidrag til bog/antologiForskning

  3. Fully versus conventionally guided implant placement by dental students: A randomized controlled trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelpeer review

Vis graf over relationer

PURPOSE: The aim of the study is to evaluate the results of apical surgery (AS) in patients receiving high-dose antiresorptive medication (HDAR).

METHODS: Retrospective descriptive quality control study conducted in an Oral and Maxillofacial Department at a University Hospital. Fourteen patients on HDAR met the inclusion criteria. Only descriptive statistics were applied.

RESULTS: Fourteen patients had operation on seventeen teeth. Mean HDAR treatment period before apical surgery: 25 months (SD, ± 24.27; range, 1-78 months). Drug holiday during surgery and initial healing: mean, 8 months (SD, ± 5.96; range, 0.4-22 months). Sixteen out of seventeen teeth healed clinically and showed complete or ongoing radiographic healing. All patients except one became free of symptoms. Mean follow-up: 13 months (SD, ± 9.05; range, 2-31 months). Radiographic healing according to Molven and Rud: 7, complete; 6, uncertain; 1, unsatisfactory. Three patients died during follow-up and were considered drop-outs.

CONCLUSIONS: The present case series suggest that apical surgery is a valid treatment option for apical periodontitis in patients on HDAR, where orthograde endodontic retreatment is not possible. None of the patients developed medication-related osteonecrosis of the jaw. Further studies in larger study groups and with longer follow-up periods are needed. The regional scientific ethical committee provided a document exemption, registration date 20 November 2013, and the local data protection agency approved handling of the recorded data (No. 2012-41-0045), registration date 11 January 2012.

TidsskriftOral and Maxillofacial Surgery
Udgave nummer2
Sider (fra-til)237-246
StatusUdgivet - jun. 2021

ID: 61651607