How Surgery Affects Patients with Jaw Osteonecrosis? A Quality of Life Analysis Study

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dc.authoridBicer, Ahmet/0000-0001-5157-7350
dc.authoridCanbolat, Ozan Can/0000-0002-5747-9716
dc.authorscopusid23975451600
dc.authorscopusid57611560600
dc.authorscopusid57610886700
dc.authorscopusid6602127059
dc.contributor.authorBicer, Ahmet
dc.contributor.authorIbrahimli, Nargiz
dc.contributor.authorCanbolat, Ozan Can
dc.contributor.authorGurler, Tahir
dc.date.accessioned2023-01-12T20:17:00Z
dc.date.available2023-01-12T20:17:00Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractObjective: Osteonecrosis of the jawbone, especially when associated with osteomyelitis, is a debilitating condition predominantly affecting patients treated for osteoporosis, cancer with bone metastases, and rheumatoid arthritis. Oral pathologies may significantly alter the patients' quality of life and sense of health. Surgery including complete debridement of the necrotic bone followed by packing the dead space with antiseptic agents and meticulous repair of the overlying mucosa is gaining popularity on conservative treatment options. Materials and Methods: In this before and after study 11 patients referred to our clinic between 2018 and 2020 with a diagnosis of maxillary or mandibular osteonecrosis with complete preoperative and postoperative analyses available were included. The patients were assessed with General Oral Health Assessment (GOHA) index preoperatively and postoperatively. These scores were compared with each other to exhibit the effect of our surgical strategy, which also outlined. The effects of patients' demographic and medical backgrounds on the quality of life were also investigated. Results: Neither demographic, nor medical backgrounds of the patients were not found to significantly alter the GOHA index scores of the patients (p>0.05). However, surgical treatment was found to significantly improve the scores (preoperative mean: 38.87, +/- 6.44; postoperative mean: 31.0, +/- 8.28; p<0.05). Conclusion: To obtain optimal results in the management of the patients with jawbone osteonecrosis, the treatment strategy should be based on the patient characteristics and careful radiographical examinations. Alterations of predisposing medications and introduction of proper antibiotics in the setting of associated osteomyelitis should be made before surgery. Oral/dental rehabilitation should be started immediately after mucosal healing is assured.en_US
dc.identifier.doi10.4274/tod.galenos.2021.33340
dc.identifier.endpage47en_US
dc.identifier.issn2147-2653
dc.identifier.issn2147-2653en_US
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85128735519en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage41en_US
dc.identifier.urihttps://doi.org/10.4274/tod.galenos.2021.33340
dc.identifier.urihttps://hdl.handle.net/11454/78807
dc.identifier.volume28en_US
dc.identifier.wosWOS:000782847900008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofTurk Osteoporoz Dergisi-Turkish Journal Of Osteoporosisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectOsteonecrosisen_US
dc.subjectjawbone osteonecrosisen_US
dc.subjectosteomyelitisen_US
dc.subjectbisphosphonatesen_US
dc.subjectBisphosphonate-Related Osteonecrosisen_US
dc.subjectMedication-Related Osteonecrosisen_US
dc.subjectOral-Healthen_US
dc.subjectPhossy Jawen_US
dc.subjectOsteomyelitisen_US
dc.subjectManagementen_US
dc.subjectProtocolen_US
dc.subjectNecrosisen_US
dc.subjectTherapyen_US
dc.subjectBronjen_US
dc.titleHow Surgery Affects Patients with Jaw Osteonecrosis? A Quality of Life Analysis Studyen_US
dc.title.alternativeÇene Kemiği Osteonekrozlu Hastalarda Cerrahinin Yeri Nedir? Bir Yaşam Kalitesi Analizi Çalışmasıen_US
dc.typeArticleen_US

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