36 Questions
What is the most common cause of osteomyelitis?
Odontogenic infections
What is MRONJ?
A condition associated with certain medications
What is the most common cause of osteomyelitis?
Odontogenic infections
Which bone is more susceptible to osteomyelitis due to poor blood supply and dense cortical bone?
Mandible
Which bone disease can increase susceptibility to osteomyelitis?
Paget's disease
What are the characteristics of MRONJ?
Exposure of bone and no history of radiation therapy or metastatic disease
Which of the following diseases can increase susceptibility to osteomyelitis?
Paget's disease
Which nerve can experience paresthesia in acute forms of osteomyelitis?
Trigeminal nerve
When was MRONJ updated in the AAOMS guidelines?
2014
What is the etiology of osteomyelitis?
Bacterial colonization
Which medications are associated with MRONJ?
Medications used for osteopenia/osteoporosis and malignancy
What is the most common location for osteomyelitis?
Mandible
What is the duration of medication use's role in MRONJ?
It is a major factor
What can cause medication-related osteonecrosis of the jaws (MROJ)?
Drugs
What are the symptoms of acute osteomyelitis?
Cheek swelling and paresthesia of the alveolar nerve
How can chronic osteomyelitis appear?
As primary or secondary to an acute form
When is MRONJ diagnosed?
When exposed bone persists for more than 8 weeks
Which of the following is not a management option for osteomyelitis?
Radiation therapy
What is the etiology of osteomyelitis?
Malnutrition
What are the consequences of MRONJ?
Pain and infection
What is the treatment for osteomyelitis?
A combination of antibiotic treatment, surgical drainage of pus, and surgical debridement
What is the difference between acute and chronic forms of osteomyelitis?
Acute forms present with exposed bone and paresthesia of the alveolar nerve, while chronic forms appear as primary or secondary to an acute form.
Which of the following can lead to osteomyelitis?
Leukemia
What is the treatment for MRONJ?
Surgery and discontinuation of the medication
Which of the following is not a risk factor for osteomyelitis?
Hypertension
What are the prevention measures for MRONJ?
Good oral hygiene and regular dental check-ups
What must be improved for good healing of osteomyelitis?
Local vascularization
What is Medication-related osteonecrosis of the jaws (MROJ)?
A side effect of medication
What is the risk associated with dentoalveolar surgery?
Increased risk of developing MRONJ
What must be improved for good healing of osteomyelitis?
Local vascularization
Which population is more likely to develop MRONJ?
Females
Which of the following is not a cause of osteomyelitis?
Osteoporosis
What is the primary symptom of chronic forms of osteomyelitis?
Discharge of pus
What is the most common symptom of chronic osteomyelitis?
Discharge of pus
What is the recommended action before starting IV BP treatment?
Dental examinations
Which of the following is not an etiology of osteomyelitis?
Hypertension
Study Notes
- MRONJ is a condition associated with certain medications.
- Characteristics include exposure of bone and no history of radiation therapy or metastatic disease.
- The condition is updated in the AAOMS 2014 guidelines.
- Medications associated with MRONJ include those used for osteopenia/osteoporosis and malignancy.
- The duration of medication use is also a factor.
- MRONJ is diagnosed when exposed bone persists for more than 8 weeks.
- MRONJ is a serious condition that can cause pain and infection.
- Treatment may involve antibiotics, surgery, and discontinuation of the medication.
- Prevention measures include good oral hygiene and regular dental check-ups.
- Patients should discuss the risks and benefits of medication with their healthcare provider.
- Dentoalveolar surgery increases the risk of developing MRONJ.
- MRONJ is more likely to appear in the mandible than the maxilla.
- Pre-existing dental disease increases the risk of MRONJ.
- MRONJ is more prevalent in the female population.
- Dental examinations are recommended before starting IV BP treatment.
- The 2nd molar roots are closest to the maxillary sinus floor.
- Dental issues can cause maxillary sinusitis.
- Acute maxillary sinusitis can cause pain and facial fullness.
- Chronic maxillary sinusitis can be of dental origin and cause unilateral purulent secretion.
- Treatment for maxillary sinusitis includes antibiotics and removal of etiological factors.
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