{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Protrusive Dental Podcast","title":"Medication Related Osteonecrosis for GDPs – What You Need to Know (MRONJ) – PDP215","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/128e1d1d\"></iframe>","width":"100%","height":180,"duration":2359,"description":"Are you confident in managing patients on bisphosphonates or biologics?\nWhich medications increase the risk of medication-related osteonecrosis of the jaw (MRONJ)?\nHow do you decide when to extract a tooth and when to refer to a specialist?\nIn this episode, Jaz is joined by oral surgery consultant Dr. Pippa Cullingham to explore the complexities of MRONJ. They break down the key risk factors, share expert advice on when to proceed with extractions, and discuss the latest guidelines for managing patients at risk.\nThey also discuss the importance of early assessment – by identifying at-risk teeth early, you can help prevent serious complications and ensure the best outcome for your patients.\n https://youtu.be/KnQoI8Z-FhM \nWatch PDP215 on Youtube\nProtrusive Dental Pearl: it is so important to assess patients before they start taking high-risk medications like bisphosphonates or biologics, using radiographs to identify potential issues. Extractions should ideally be done before medication starts to avoid complications, as MRONJ risk increases once treatment begins.\nKey Takeaways:\nMedication-related osteonecrosis of the jaw concerns medications other than bisphosphonates.\nRisk assessment is crucial when considering dental extractions for patients on certain medications.\nGuidelines from the Scottish Dental Clinical Effectiveness Partnership are valuable resources for dentists.\nHigher-risk patients require careful management and communication with their medical teams.\nDenosumab has a different risk profile compared to bisphosphonates.\nPatients on long-term bisphosphonates may still have risks even after stopping the medication.\nDentists should feel empowered to manage certain extractions in primary care with proper guidance.\nThe decision to extract a tooth should weigh the risks and benefits for the patient.\nAlways assess the patient’s risk before extraction.\nEight weeks is a critical time for assessing healing.\nAntibiotics are not recommended for preventing MRONJ in...","thumbnail_url":"https://img.transistorcdn.com/hLSIeRiYSp0oTfIk0BzEukFutShD18hH3f6fq4QHsWw/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lZmM0/ZTNjYzdiZDJhNGFj/MzBiYmU2NTUwNmM2/NzQ2My5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}