Temporomandibular Joint (TMJ) Treatment

Medication-related osteonecrosis of the jaw (MRONJ) is a rare but serious condition that can weaken a person’s upper or lower jaw.

First identified in 2002, MRONJ is a progressive deterioration of the jawbone in a person taking a medication frequently used to treat osteoporosis (low bone mass) or cancer such as multiple myeloma. The most common medications are bisphosphonates.

Symptoms of MRONJ include:

  • Jaw pain
  • Gum swelling and redness
  • Exposed jaw bone
  • Extraction socket failing to heal
  • Numbness in your jaw
  • Loose teeth
  • Unpleasant taste
  • Swelling of the face or affected gum area

Risk Factors for MRONJ Include:

  • Long term use of bisphosphonates
  • Having a tooth pulled
  • Severe gum disease
  • Tooth infection
  • Poor oral health

Once diagnosed with MRONJ, surgery and tooth extraction should be avoided. Hygiene measures are stressed in order to avoid disease progression.

How is MRONJ Treated?

  • Thorough and daily irrigation with an antimicrobial rinse
    • Antibiotics to control infection or progression of disease
    • Surgical intervention if needed to remove deteriorated bone
    • Removable oral appliance to cover and protect the exposed bone
    • If dentures are worn, proper fitting is paramount to avoid irritation of the soft tissues

Contact Front Range Oral Surgery

Are you at risk for Medication-related osteonecrosis of the jaw (MRONJ)? The first step is to schedule a consultation with Dr. Hinckley at either our Oral Surgery office in Wheatridge or Dacono, Colorado. Please contact our office by phone or complete the appointment request form so Dr. Hinckley and our team can discuss your situation and find the best treatment option for you.

Our scheduling coordinator will contact you to confirm your appointment.

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