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20 patients with MRONJ underwent surgical debridement using piezosurgery then closure using double periosteal flap
20 patients with MRONJ underwent surgical debridement, crestal incision and oblique releasing incision were performed to expose the area of osteomyelitis, then squesterum was removed using piezosurgery. After complete debridement, the periosteal layer was dissected from mucoperiosteal buccal flap and based superiorly, then turn upward to be sutured to the lingual flap followed by suturing of buccal flap to achieve double layers closure
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| management of medication related osteonecrosis of the jaw | Experimental | The buccal mucoperiosteal flap was elevated to expose the area of osteonecrosis in the mandible. it was debrided using piezosurgery then closure was achieved using double periosteal flap |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| management of medication related osteonecrosis of the jaw | Device | after buccal flap reflection, the bone osteonecrosis was debrided using piezosurgery. the buccal mucoperiosteal flap was dissected to two layers first, the periosteal layer was based superiorly and the mucosal flap to achieve double layers closure. |
| Measure | Description | Time Frame |
|---|---|---|
| evaluation of pain | visual analog scale (VAS), with 0 indicating no pain and 10 indicating the most severe pain. | one month |
| wound healing | the wound healing index (WHI) which scored soft tissue healing according to the following criteria: score 1 = uneventful healing with no gingival edema, erythema, suppuration, patient discomfort, or flap dehiscence; score 2 = uneventful healing with slight gingival edema, erythema, patient discomfort, or flap dehiscence, but no suppuration; and score 3 = poor wound healing with significant gingival edema, erythema, patient discomfort, flap dehiscence, or any suppuration | one -3 months |
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Inclusion Criteria:
• patients with MRONJ
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry, Tanta University | Tanta | 3111 | Egypt |
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patient with medication related osteonecrosis of the mandible underwent surgical debridement and closure using double periosteal flap
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