Osteonecrosis of the Jaw in a Young Patient: Beyond Medication-Related Causes

Year 2025, Volume: 4 Issue: 1, 7 - 10, 29.01.2025

İpek Atak Seçen , Berkay Mülayim , Bilgesu Kurt , Emre Barış

Abstract

Medication-Related Osteonecrosis of the Jaw (MRONJ) is commonly associated with pharmacological agents like bisphosphonates. However, osteonecrosis can also develop due to other etiologies, including dental trauma and infections. This case report describes osteonecrosis in a 26-year-old male patient who underwent simultaneous implant placement and surgical tooth extraction. The absence of systemic diseases or medication history highlights the role of dental trauma and impaired healing in osteonecrosis development. Management included surgical debridement and antibiotic therapy, consistent with Stage 2 osteonecrosis guidelines. The case emphasizes the importance of minimizing trauma during dental procedures to prevent osteonecrosis, even in younger patients.

Keywords

dental implant, MRONJ, osteonecrosis, trauma

Ethical Statement

The present study was conducted in accordance with the Declaration of Helsinki.

Genç Bir Hastada Çene Osteonekrozu: İlaç Dışı Nedenler

Abstract

İlaca Bağlı Çene Osteonekrozu (MRONJ), genellikle bifosfonatlar gibi farmakolojik ajanlarla ilişkilendirilse de, dental travma ve enfeksiyonlar gibi diğer etiyolojik faktörlere bağlı olarak da gelişebilmektedir. Bu vaka raporu, eş zamanlı implant yerleştirilmesi ve cerrahi diş çekimi uygulanan 26 yaşındaki bir erkek hastada gelişen osteonekrozu ele almaktadır. Hastanın sistemik bir hastalık veya ilaç kullanım öyküsünün bulunmaması; osteonekroz gelişiminde dental travma ve bozulmuş iyileşme sürecinin etkisini ön plana çıkarmaktadır. Tedavi, Evre 2 osteonekroz kılavuzları doğrultusunda, cerrahi debridman ve antibiyotik uygulaması ile gerçekleştirilmiştir. Çıkarılan materyalin histopatolojik incelemesi, osteonekroz tanısını doğulamıştır. Bu vaka, genç hastalarda dahi osteonekrozu önlemek için dental işlemler sırasında travmayı en aza indirmenin önemine dikkat çekmektedir.

Keywords

dental implant, MRONJ, osteonekroz, travma

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