Table 6. | Characteristics of conservative treatment |
| Study | Population | Gender | Age | Study group | Observation period | Treatment outcome | Results | Conclusions |
|---|---|---|---|---|---|---|---|---|
| Male/female | Years | Months | ||||||
| Sim et al. [14] | Patients diagnosed with stage 1 - 3 MRONJ underwent subcutaneous teriparatide or placebo injections. | Control: 10/9 | Control: 64 | Control (n = 19): treated with subcutaneous saline injections | 12 | Treatment was considered successful if had complete resolution of lesion which assessed by CBCT, 3D Slicer measure change in bone volumes, bone mineral density and F-fluoride PET-CT imaging was performed to measure osteoblastic responses to teriparatide | Control: 33.3% of lesions resolved by 52 weeks | Teriparatide was associated with a greater rate of resolution of MRONJ lesions compared with placebo (P = 0.013) |
| Test: 8/7 | Test: 64 | Test (n = 15): treated with subcutaneous teriparatide 20 mg injection. Total: 47 MRONJ lesions | Test: 45.4% of lesions resolved by 52 weeks | |||||
| Ristow et al. [19] | Patients diagnosed with stage 1 MRONJ underwent conservative treatment of MRONJ. | 33/42 |
Male: 67.5 female: 68.9 |
75 patients with 92 lesions were treated with antimicrobial mouth rinse, 0.2% chlorhexidine solution used three times per day, and 1% chlorhexidine gel applied topically every day | 12 - 60 | Treatment was considered successful if had complete mucosal coverage without signs of infection |
Mucosal coverage: 8 lesions (8.7%).
Exposed jaw bone: 84 lesions (91.3%) |
Conservative therapy in stage 1 MRONJ leads to a healing in rare cases |
MRONJ = medication-related osteonecrosis of the jaw; CBCT = conical-beam computerized tomography; PET-CT = positron emission tomography/computed tomography. |
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