A New Medical Record Proposal to the Prognostic Risk Assessment for MRONJ in Oncologic Patients: “Sapienza Head and Neck Unit” Proposal

Edoardo Brauner, Silvia Mezi, Alessandro Ciolfi, Chiara Ciolfi, Resi Pucci, Andrea Cassoni, Andrea Battisti, Gabriele Piesco, Francesca De Felice, Nicola Pranno, Matteo Armida, Francesca De Angelis, Umberto Romeo, Mauro Capocci, Gianluca Tenore, Vincenzo Tombolini, Valentino Valentini, Livia Ottolenghi, Antonella Polimeni and Stefano Di Carlo
Additional contact information
Edoardo Brauner: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Silvia Mezi: Department of Radiological Oncological and Pathological Sciences, Sapienza University of Rome, 00161 Roma, Italy
Alessandro Ciolfi: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Chiara Ciolfi: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Resi Pucci: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Andrea Cassoni: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Andrea Battisti: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Gabriele Piesco: Department of Radiological Oncological and Pathological Sciences, Sapienza University of Rome, 00161 Roma, Italy
Francesca De Felice: Department of Radiological Oncological and Pathological Sciences, Sapienza University of Rome, 00161 Roma, Italy
Nicola Pranno: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Matteo Armida: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Francesca De Angelis: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Umberto Romeo: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Mauro Capocci: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Gianluca Tenore: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Vincenzo Tombolini: Department of Radiological Oncological and Pathological Sciences, Sapienza University of Rome, 00161 Roma, Italy
Valentino Valentini: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Livia Ottolenghi: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Antonella Polimeni: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy
Stefano Di Carlo: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Roma, Italy

IJERPH, 2021, vol. 18, issue 4, 1-12

Abstract: Medication-related osteonecrosis of the jaw (MRONJ) is an adverse event associated with antiresorptive and antiangiogenic drugs. The use of these drugs in the treatment of cancer patients with bone metastasis is necessary and standardized in the literature. A multidisciplinary approach for the patient’s management is strongly recommended. Therefore, it should be necessary to integrate the path of these subjects with a dedicated dental screening in order to first assess the individual risk of developing a MRONJ, and then to plan dental treatments and oral hygiene sessions, and finally to schedule a follow-up to intercept and treat early osteonecrosis. The aim of this manuscript is to propose a new simple medical report to evaluate patients affected by metastatic bone cancer in order to reduce the risk of developing MRONJ.

Keywords: osteonecrosis; metastatic bone cancer; dental treatment; medical report; oral health care delivery (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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