Table 1: Main characteristics of the included studies.
Reference | Study | Population | Follow-Up Intervention | Results | Quality Of Evidence (Sign) |
Bagan [7] |
Objectives: Describe clinical characteristics and the evolution of a series of patients who develop ONJ after treatment for osteoporosis (OP) with denosumab (Dmab) Search period: not specified |
N: 10 patients Mean age: 73.7 ± 11.6 years Sex: 100% women Exclusion criteria were treatment with other medications or chemotherapy for associated cancers |
Intervention: Treatment with Dmab (60 mg)/6 months Follow-up period:not specified |
-The average number of doses of denosumab was 3.4 ± 2.2. 9 patients (90%) had also been treated before with oral BPs, for an average of 44.7 ± 25.11 months ( 4 with ibandronate, 3 with risedronate and 3 with alendronate. -In 7 (70%), the ONJ was located in the jaw. - The most common local risk factor found was tooth extraction (six cases, 60%); Only one case associated with dental implant was found. Three cases (30%) had an intraoral and necrotic fistula and in 9 cases (90%) bone exposure was observed. - Bone sclerosis was present in all cases. No sequestration was found in any case, osteolysis was present in six (60%) cases. - Stage 1 of ONJ was the most common, occurring in eight (80%) cases, and in all cases except one, conservative treatment was used with the healing of the lesions |
3 |
Oliveira [6] |
Design: Systematic review of cases and series of cases Objectives: Review the literature of clinical cases that develop ONM after treatment with Dmab Search period: January 2010 to May 2015 |
N:17 patients 8 OP (mean age: ≥ 60 (58-78a). 100% women. 9 Cancer. To be included, the articles had to be a case or a series of clinical cases in patients ≥ 18 years of who used Dmab for the treatment of osteoporosis including patients with Cancer and who had received some therapy for ONJ. |
Treatment with Dmab (60 mg)/6 months |
-Of the 17 cases detected only 8 were in patients with osteoporosis and osteopenia. -The majority of cases of ONJ occurred in the posterior mandibular area and only one of them in the posterior maxillary area. -The associated systemic factors were: -Previous appointment with BPs (in 6 of 8 cases). -Dental extractions (4 of the 8 cases). |
3 |