Bisphosphonate-Associated Osteonecrosis of the Jaw Posing as a Diagnostic Tight Spot.
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2015-07
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Abstract
Clinical acumen is an acquired trait, something one gain by experience. Many a time one may not be able to explain how the correct diagnosis was given in some critical situations, and this is not accidental. It is the subconscious that analyses the previous knowledge and correlates with the current situation. Here is a case report, which underlies the need for theoretical knowledge to be support practical success and highlighting the need for updating. Even in the era of apps and androids one’s mind can work faster than all of these. A 60-year-old male patient was referred for dental consultation by a physician following bone necrosis of jaw bones. He had difficulty in having food as the exposed bone was chipping off, but pain was minimal. He had a history of multiple myeloma 10 years back which was treated by both radio and chemotherapy. Three years back another course of radiotherapy was given. The patient was currently on many medications. On examination, the patient was of average built and no specific findings were present on general and extraoral examinations. Intraoral examination revealed denuded necrotic bone bilaterally on the posterior aspect of both the jaws (Figures 1-3). There was practically no tenderness on palpation. The absence of signs of inflammation put us in a dilemma.
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Varma R Beena, Valappila Nidhin J, Shanmughan Aravind Meena, Gopinath Arjun. Bisphosphonate-Associated Osteonecrosis of the Jaw Posing as a Diagnostic Tight Spot. IJSS Case Reports & Reviews. 2015 July; 2(2): 28-29.