1. Medication-related osteonecrosis of the jaw. Introduction of a new modified experimental model.
- Author
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Curra C, Cardoso CL, Ferreira O Júnior, Curi MM, Matsumoto MA, Cavenago BC, Santos PL, and Santiago JF Júnior
- Subjects
- Administration, Intravenous methods, Alveolar Bone Loss diagnostic imaging, Animals, Bisphosphonate-Associated Osteonecrosis of the Jaw diagnostic imaging, Diphosphonates adverse effects, Imidazoles adverse effects, Incisor surgery, Male, Maxillary Diseases diagnostic imaging, Osteitis pathology, Osteolysis chemically induced, Osteolysis diagnostic imaging, Rats, Wistar, Tooth Extraction adverse effects, Tooth Extraction methods, X-Ray Microtomography instrumentation, Zoledronic Acid, Bisphosphonate-Associated Osteonecrosis of the Jaw pathology, Diphosphonates administration & dosage, Imidazoles administration & dosage, Models, Animal
- Abstract
Purpose: To evaluate a modified experimental model for medication-related osteonecrosis of the jaw (MRONJ) through the upper right central incisor extraction followed by intravenous bisphosphonate administration., Methods: Forty five rats underwent the upper right central incisor tooth extraction were divided in 2 groups: Group I - experimental group, 30 rats received an intravenous administration protocol of zoledronic acid 35μg/kg into the tail vein every two weeks, totalizing four administrations, during eight weeks of administration, previously the extraction, and Group II - control group, 15 rats didn't received any medication before extraction. The groups were subdivided in postoperative periods: 14/28/42 days. Clinical analysis and microtomography were performed to verify the presence of osteonecrosis. In addition, descritive histological analysis of hematoxylin-eosin stained sections was performed to evaluate the presence of osteonecrosis or necrotic foci., Results: Twelve (40%) rats, from experimental group, showed clinical signs of MRONJ (p=0.005), however, all samples showed imaginologic findings like osteolysis and loss of integrity of the cellular walls (p≤0.001). Microscopic evaluation revealed osteonecrosis areas with microbial colonies and inflammatory infiltrate (p≤0.001). In the control group, all animals presented the chronology of a normal wound healing., Conclusions: The presence of medication-related osteonecrosis of the jaw after maxillary central incisor extraction in rats. This new experimental model may be considered an option for the study of MRONJ.
- Published
- 2016
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