Mronj
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Questions and Answers

What is the most common cause of osteomyelitis?

  • Facial trauma
  • Radiotherapy
  • Odontogenic infections (correct)
  • Malnutrition

    • What is MRONJ?

  • A condition associated with certain medications (correct)
  • A type of cancer
  • A rare genetic disorder
  • A fungal infection

    • What is the most common cause of osteomyelitis?

  • Facial trauma
  • Radiotherapy
  • Odontogenic infections (correct)
  • Diabetes

    • Which bone is more susceptible to osteomyelitis due to poor blood supply and dense cortical bone?

    <p>Mandible</p> Signup and view all the answers

    Which bone disease can increase susceptibility to osteomyelitis?

    <p>Paget's disease</p> Signup and view all the answers

    What are the characteristics of MRONJ?

    <p>Exposure of bone and no history of radiation therapy or metastatic disease</p> Signup and view all the answers

    Which of the following diseases can increase susceptibility to osteomyelitis?

    <p>Paget's disease</p> Signup and view all the answers

    Which nerve can experience paresthesia in acute forms of osteomyelitis?

    <p>Trigeminal nerve</p> Signup and view all the answers

    When was MRONJ updated in the AAOMS guidelines?

    <p>2014</p> Signup and view all the answers

    What is the etiology of osteomyelitis?

    <p>Bacterial colonization</p> Signup and view all the answers

    Which medications are associated with MRONJ?

    <p>Medications used for osteopenia/osteoporosis and malignancy</p> Signup and view all the answers

    What is the most common location for osteomyelitis?

    <p>Mandible</p> Signup and view all the answers

    What is the duration of medication use's role in MRONJ?

    <p>It is a major factor</p> Signup and view all the answers

    What can cause medication-related osteonecrosis of the jaws (MROJ)?

    <p>Drugs</p> Signup and view all the answers

    What are the symptoms of acute osteomyelitis?

    <p>Cheek swelling and paresthesia of the alveolar nerve</p> Signup and view all the answers

    How can chronic osteomyelitis appear?

    <p>As primary or secondary to an acute form</p> Signup and view all the answers

    When is MRONJ diagnosed?

    <p>When exposed bone persists for more than 8 weeks</p> Signup and view all the answers

    Which of the following is not a management option for osteomyelitis?

    <p>Radiation therapy</p> Signup and view all the answers

    What is the etiology of osteomyelitis?

    <p>Malnutrition</p> Signup and view all the answers

    What are the consequences of MRONJ?

    <p>Pain and infection</p> Signup and view all the answers

    What is the treatment for osteomyelitis?

    <p>A combination of antibiotic treatment, surgical drainage of pus, and surgical debridement</p> Signup and view all the answers

    What is the difference between acute and chronic forms of osteomyelitis?

    <p>Acute forms present with exposed bone and paresthesia of the alveolar nerve, while chronic forms appear as primary or secondary to an acute form.</p> Signup and view all the answers

    Which of the following can lead to osteomyelitis?

    <p>Leukemia</p> Signup and view all the answers

    What is the treatment for MRONJ?

    <p>Surgery and discontinuation of the medication</p> Signup and view all the answers

    Which of the following is not a risk factor for osteomyelitis?

    <p>Hypertension</p> Signup and view all the answers

    What are the prevention measures for MRONJ?

    <p>Good oral hygiene and regular dental check-ups</p> Signup and view all the answers

    What must be improved for good healing of osteomyelitis?

    <p>Local vascularization</p> Signup and view all the answers

    What is Medication-related osteonecrosis of the jaws (MROJ)?

    <p>A side effect of medication</p> Signup and view all the answers

    What is the risk associated with dentoalveolar surgery?

    <p>Increased risk of developing MRONJ</p> Signup and view all the answers

    What must be improved for good healing of osteomyelitis?

    <p>Local vascularization</p> Signup and view all the answers

    Which population is more likely to develop MRONJ?

    <p>Females</p> Signup and view all the answers

    Which of the following is not a cause of osteomyelitis?

    <p>Osteoporosis</p> Signup and view all the answers

    What is the primary symptom of chronic forms of osteomyelitis?

    <p>Discharge of pus</p> Signup and view all the answers

    What is the most common symptom of chronic osteomyelitis?

    <p>Discharge of pus</p> Signup and view all the answers

    What is the recommended action before starting IV BP treatment?

    <p>Dental examinations</p> Signup and view all the answers

    Which of the following is not an etiology of osteomyelitis?

    <p>Hypertension</p> Signup and view all the answers

    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.
    1. Dentoalveolar surgery increases the risk of developing MRONJ.
    2. MRONJ is more likely to appear in the mandible than the maxilla.
    3. Pre-existing dental disease increases the risk of MRONJ.
    4. MRONJ is more prevalent in the female population.
    5. Dental examinations are recommended before starting IV BP treatment.
    6. The 2nd molar roots are closest to the maxillary sinus floor.
    7. Dental issues can cause maxillary sinusitis.
    8. Acute maxillary sinusitis can cause pain and facial fullness.
    9. Chronic maxillary sinusitis can be of dental origin and cause unilateral purulent secretion.
    10. Treatment for maxillary sinusitis includes antibiotics and removal of etiological factors.

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