Treatment of medication-related osteonecrosis of the jaw around the dental implant in a patient with multiple myeloma: a case report

Abstract

The management of medication-related osteonecrosis of the jaw (MRONJ) around a dental implant is difficult. Conservative treatment is recommended, but patients do not exhibit improvement. Thus, several adjunctive therapies have been introduced. This paper describes a case of MRONJ around a dental implant in a 68-year-old man. Treatment with teriparatide was contraindicated because of the patient’s history of multiple myeloma. Successful results with hyperbaric oxygen therapy and surgical intervention were achieved. Clinicians treating patients with MRONJ should conduct a thorough examination before selecting the modalities of adjuvant therapy, thereby establishing a solid treatment strategy.