Podcast
Questions and Answers
Which of the following is a risk factor for dry socket?
Which of the following is a risk factor for dry socket?
- Regular dental check-ups
- Smoking (correct)
- Eating a balanced diet
- Practicing good oral hygiene
What is the cause of osteoradionecrosis?
What is the cause of osteoradionecrosis?
- Bacterial colonization of bone marrow
- High linear energy radiation during head/neck tumor management (correct)
- Antiresorptive/antiangiogenic drug therapy
- Inflammation of bone
What do bisphosphonates do?
What do bisphosphonates do?
- Stimulate osteoclast function
- Promote angiogenesis
- Inhibit osteoclast function and angiogenesis (correct)
- Prevent the formation of new bone cells
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Study Notes
- Maxillary infections, dry socket, and post-extraction inflammation without infection can occur after dental extractions.
- Dry socket is more common in impacted third molars and can cause halitosis.
- Etiology factors for dry socket include extraction difficulty, surgeon skill, oral contraceptives, and smoking.
- Osteomyelitis is an inflammatory disease of bone caused by bacterial colonization of bone marrow, commonly occurring in the mandible.
- Chronic osteomyelitis can require surgical debridement for better healing.
- Osteoradionecrosis is caused by high linear energy radiation during head/neck tumor management and can result in exposed necrotic bone in the maxillary/mandibular alveolar process.
- Dental considerations before radiation therapy include thorough dental examination and extractions 2-3 weeks before RT.
- Osteochemonecrosis is a complication of antiresorptive/antiangiogenic drug therapy, previously known as BRONJ.
- Antiresorptive medications include IV and oral bisphosphonates.
- Bisphosphonates work by inhibiting osteoclast function and angiogenesis.
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