Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/30539 |
Resumo: | Objective: To analyze evidence of care aimed at preventing and treating osteonecrosis of the jaws related to medication use. Method: Integrative review with search and selection in the following electronic databases: MEDLINE via Pubmed, LILACS and IBECS via VHL. Descriptors were extracted from controlled vocabularies and combined with OR and AND operators. The following were considered for inclusion: primary studies, published in Portuguese, English or Spanish and in the period from 2010 to 2021. The sample totaled 10 studies and the analysis was carried out in a descriptive way. Results: Osteonecrosis in the jaws induced by the use of medications is a rare, serious adverse event and a growing target of new studies that show the need for measures to prevent, control pain and promote quality of life. The preventive strategies were varied and involved the dental evaluation before the beginning of the treatment, the identification and classification of the risk, the use of radiography, daily supplementation of vitamin D, the topical application of fluoride, the use of mouthwashes based on chlorhexidine and the application of techniques for closing existing lesions. Among the therapeutic interventions, standard clinical care and conservative management stood out, as well as treatment with hyperbaric oxygen, subcutaneous teriparatide and the use of plasma rich in growth factors. Conclusion: Further investigations are needed to highlight the main dental strategies aimed at managing osteonecrosis related to medication use. Also, to demonstrate the dimension of the problem and promote valid, effective and evidence-based public policies. |
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Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative reviewPrevención y tratamiento de la osteonecrosis de la mandíbula relacionada con medicamentos: una revisión integradoraPrevenção e tratamento da osteonecrose dos maxilares relacionada ao uso de medicações: uma revisão integrativaOsteonecrosis de la Arcada Osteodental Asociada a DifosfonatosPrevención de enfermedadesTerapiaCuidado dental.Osteonecrosis of the Osseodental Arcade Associated with DiphosphonatesPrevention of diseasesTherapyDental care.Osteonecrose da Arcada Osseodentária Associada a DifosfonatosPrevenção de doençasTerapêuticaAssistência odontológica.Objective: To analyze evidence of care aimed at preventing and treating osteonecrosis of the jaws related to medication use. Method: Integrative review with search and selection in the following electronic databases: MEDLINE via Pubmed, LILACS and IBECS via VHL. Descriptors were extracted from controlled vocabularies and combined with OR and AND operators. The following were considered for inclusion: primary studies, published in Portuguese, English or Spanish and in the period from 2010 to 2021. The sample totaled 10 studies and the analysis was carried out in a descriptive way. Results: Osteonecrosis in the jaws induced by the use of medications is a rare, serious adverse event and a growing target of new studies that show the need for measures to prevent, control pain and promote quality of life. The preventive strategies were varied and involved the dental evaluation before the beginning of the treatment, the identification and classification of the risk, the use of radiography, daily supplementation of vitamin D, the topical application of fluoride, the use of mouthwashes based on chlorhexidine and the application of techniques for closing existing lesions. Among the therapeutic interventions, standard clinical care and conservative management stood out, as well as treatment with hyperbaric oxygen, subcutaneous teriparatide and the use of plasma rich in growth factors. Conclusion: Further investigations are needed to highlight the main dental strategies aimed at managing osteonecrosis related to medication use. Also, to demonstrate the dimension of the problem and promote valid, effective and evidence-based public policies.Objetivo: Analizar evidencias de cuidados dirigidos a la prevención y tratamiento de la osteonecrosis de los maxilares relacionada con el uso de medicamentos. Método: Revisión integrativa con búsqueda y selección en las siguientes bases de datos electrónicas: MEDLINE vía Pubmed, LILACS e IBECS vía BVS. Los descriptores se extrajeron de vocabularios controlados y se combinaron con los operadores OR y AND. Fueron considerados para inclusión: estudios primarios, publicados en portugués, inglés o español y en el período de 2010 a 2021. La muestra totalizó 10 estudios y el análisis se realizó de forma descriptiva. Resultados: La osteonecrosis en los maxilares inducida por el uso de medicamentos es un evento adverso raro, grave y un objetivo creciente de nuevos estudios que muestran la necesidad de medidas para prevenir, controlar el dolor y promover la calidad de vida. Las estrategias preventivas fueron variadas e involucraron la evaluación dental antes del inicio del tratamiento, la identificación y clasificación del riesgo, el uso de la radiografía, la suplementación diaria de vitamina D, la aplicación tópica de flúor, el uso de colutorios a base de clorhexidina y la aplicación de técnicas de cierre de lesiones existentes. Entre las intervenciones terapéuticas se destacaron la atención clínica estándar y el manejo conservador, así como el tratamiento con oxígeno hiperbárico, teriparatida subcutánea y el uso de plasma rico en factores de crecimiento. Conclusión: Se necesitan más investigaciones para resaltar las principales estrategias dentales dirigidas al manejo de la osteonecrosis relacionada con el uso de medicamentos. Asimismo, demostrar la dimensión del problema y promover políticas públicas válidas, eficaces y basadas en evidencia.Objetivo: Analisar as evidências de cuidados voltados para prevenção e tratamento da osteonecrose dos maxilares relacionada ao uso de medicações. Método: Revisão integrativa com busca e seleção nas seguintes bases eletrônicas de dados: MEDLINE via Pubmed, LILACS e IBECS via BVS. Os descritores foram extraídos de vocabulários controlados e combinados com os operadores OR e AND. Foram considerados para inclusão: estudos primários, publicados em português, inglês ou espanhol e no período de 2010 a 2021. A amostra totalizou 10 estudos e a análise ocorreu de forma descritiva. Resultados: A osteonecrose nos maxilares induzidas pelo uso de medicações é um evento adverso raro, grave e alvo crescente de novos estudos que evidenciam a necessidade de medidas para prevenção, controle da dor e promoção da qualidade de vida. As estratégias preventivas foram variadas e envolveram a avaliação odontológica antes do início do tratamento, a identificação e classificação do risco, o uso da radiografia, a suplementação diária de vitamina D, a aplicação tópica de flúor, o uso de enxaguantes a base de clorexidina e a aplicação de técnicas para fechamento de lesões existentes. Dentre as intervenções terapêuticas, destacaram-se os cuidados clínicos padrão e a gestão conservadora, assim como o tratamento com oxigênio hiperbárico, a teriparatida subcutânea e o uso de plasma rico em fatores de crescimento. Conclusão: Novas investigações são necessárias para evidenciar as principais estratégias odontológicas voltadas para gerenciamento da osteonecrose relacionada ao uso medicações. Ainda, para demonstrar a dimensão do problema e fomentar políticas públicas válidas, efetivas e baseadas em evidências.Research, Society and Development2022-06-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3053910.33448/rsd-v11i8.30539Research, Society and Development; Vol. 11 No. 8; e1011830539Research, Society and Development; Vol. 11 Núm. 8; e1011830539Research, Society and Development; v. 11 n. 8; e10118305392525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/30539/26220Copyright (c) 2022 Rafaela Cavalcanti Dias da Cunha; Raulison Vieira de Sousa; Pedro José Targino Ribeiro; Lívia Pereira Brocos Pireshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCunha, Rafaela Cavalcanti Dias da Sousa, Raulison Vieira de Ribeiro, Pedro José Targino Pires, Lívia Pereira Brocos 2022-07-01T13:34:06Zoai:ojs.pkp.sfu.ca:article/30539Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:47:15.506711Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative review Prevención y tratamiento de la osteonecrosis de la mandíbula relacionada con medicamentos: una revisión integradora Prevenção e tratamento da osteonecrose dos maxilares relacionada ao uso de medicações: uma revisão integrativa |
title |
Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative review |
spellingShingle |
Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative review Cunha, Rafaela Cavalcanti Dias da Osteonecrosis de la Arcada Osteodental Asociada a Difosfonatos Prevención de enfermedades Terapia Cuidado dental. Osteonecrosis of the Osseodental Arcade Associated with Diphosphonates Prevention of diseases Therapy Dental care. Osteonecrose da Arcada Osseodentária Associada a Difosfonatos Prevenção de doenças Terapêutica Assistência odontológica. |
title_short |
Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative review |
title_full |
Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative review |
title_fullStr |
Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative review |
title_full_unstemmed |
Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative review |
title_sort |
Prevention and treatment of medication-related osteonecrosis of the jaw: an integrative review |
author |
Cunha, Rafaela Cavalcanti Dias da |
author_facet |
Cunha, Rafaela Cavalcanti Dias da Sousa, Raulison Vieira de Ribeiro, Pedro José Targino Pires, Lívia Pereira Brocos |
author_role |
author |
author2 |
Sousa, Raulison Vieira de Ribeiro, Pedro José Targino Pires, Lívia Pereira Brocos |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Cunha, Rafaela Cavalcanti Dias da Sousa, Raulison Vieira de Ribeiro, Pedro José Targino Pires, Lívia Pereira Brocos |
dc.subject.por.fl_str_mv |
Osteonecrosis de la Arcada Osteodental Asociada a Difosfonatos Prevención de enfermedades Terapia Cuidado dental. Osteonecrosis of the Osseodental Arcade Associated with Diphosphonates Prevention of diseases Therapy Dental care. Osteonecrose da Arcada Osseodentária Associada a Difosfonatos Prevenção de doenças Terapêutica Assistência odontológica. |
topic |
Osteonecrosis de la Arcada Osteodental Asociada a Difosfonatos Prevención de enfermedades Terapia Cuidado dental. Osteonecrosis of the Osseodental Arcade Associated with Diphosphonates Prevention of diseases Therapy Dental care. Osteonecrose da Arcada Osseodentária Associada a Difosfonatos Prevenção de doenças Terapêutica Assistência odontológica. |
description |
Objective: To analyze evidence of care aimed at preventing and treating osteonecrosis of the jaws related to medication use. Method: Integrative review with search and selection in the following electronic databases: MEDLINE via Pubmed, LILACS and IBECS via VHL. Descriptors were extracted from controlled vocabularies and combined with OR and AND operators. The following were considered for inclusion: primary studies, published in Portuguese, English or Spanish and in the period from 2010 to 2021. The sample totaled 10 studies and the analysis was carried out in a descriptive way. Results: Osteonecrosis in the jaws induced by the use of medications is a rare, serious adverse event and a growing target of new studies that show the need for measures to prevent, control pain and promote quality of life. The preventive strategies were varied and involved the dental evaluation before the beginning of the treatment, the identification and classification of the risk, the use of radiography, daily supplementation of vitamin D, the topical application of fluoride, the use of mouthwashes based on chlorhexidine and the application of techniques for closing existing lesions. Among the therapeutic interventions, standard clinical care and conservative management stood out, as well as treatment with hyperbaric oxygen, subcutaneous teriparatide and the use of plasma rich in growth factors. Conclusion: Further investigations are needed to highlight the main dental strategies aimed at managing osteonecrosis related to medication use. Also, to demonstrate the dimension of the problem and promote valid, effective and evidence-based public policies. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/30539 10.33448/rsd-v11i8.30539 |
url |
https://rsdjournal.org/index.php/rsd/article/view/30539 |
identifier_str_mv |
10.33448/rsd-v11i8.30539 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/30539/26220 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 8; e1011830539 Research, Society and Development; Vol. 11 Núm. 8; e1011830539 Research, Society and Development; v. 11 n. 8; e1011830539 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052714730913792 |