Management of Medication Related Osteonecrosis of the Jaws With Double Periosteal Flap Closure

Management of Medication Related Osteonecrosis of the Jaws Using Piezosurgery With Simultaneous Double Periosteal Flap Closure

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

Inclusion Criteria:

• patients with MRONJ

Exclusion Criteria:

• Patients had a history of radiotherapy
• Patients need only conservative treatment