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Caso clínico de osteonecrosis de los maxilares: la trampa de los bifosfonatos

Irene de los Mozos García, Marta Monteserín Matesanz

Resumen


Se presenta el caso de una paciente de 72 años que desarrolla un cuadro de osteonecrosis maxilar posteriormente a la colocación y carga de tres implantes en el sector inferior izquierdo. Se le extrajeros dos de los implantes y espontáneamente expulsó un secuestro óseo. En la actualidad está pendiente de tratamiento para solucionar los restos de hueso necrótico que quedan. La paciente llevaba 6 años en tratamiento con bifosfonatos orales semanales (Fosamax®) por osteoporosis y no lo había referido a su dentista porque no le había dado importancia. Los bifosfonatos son fármacos frecuentemente utilizados para la osteoporosis  que no están exentos de efectos adversos. La historia clínica minuciosa es imprescindible antes de cualquier tratamiento odontológico que conlleve agresión ósea.

Palabras clave


Bifosfonatos; Osteonecrosis; Osteoporosis; Metástasis óseas;

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