1. Effects of zoledronic acid and dexamethasone on early phases of socket healing after tooth extraction in rats : a preliminary macroscopic and microscopic quantitative study
- Author
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Roberta Maestri, Giovanni Mergoni, Paolo Govoni, Roberto Sala, Domenico Corradi, Pietro Passerini, and Paolo Vescovi
- Subjects
Molar ,Male ,medicine.medical_specialty ,Connective tissue ,Zoledronic Acid ,Dexamethasone ,Bone remodeling ,Rats, Sprague-Dawley ,03 medical and health sciences ,0302 clinical medicine ,Osteoclast ,Internal medicine ,medicine ,Animals ,Humans ,Tooth Socket ,General Dentistry ,Dental alveolus ,Oral Medicine and Pathology ,Bone Density Conservation Agents ,Diphosphonates ,business.industry ,Research ,Osteonecrosis ,030206 dentistry ,medicine.disease ,CIENCIAS MÉDICAS [UNESCO] ,Rats ,medicine.anatomical_structure ,Zoledronic acid ,Endocrinology ,Otorhinolaryngology ,UNESCO::CIENCIAS MÉDICAS ,Tooth Extraction ,Surgery ,business ,Osteonecrosis of the jaw ,medicine.drug - Abstract
Background The exact pathogenesis of medication-related osteonecrosis of the jaw (MRONJ) is still unknown. The aim of this paper was to investigate the effects of zoledronic acid and dexamethasone on the early phases of socket healing in rats subjected to tooth extractions. Material and Methods Thirty male Sprague-Dawley rats were divided into 2 groups: pharmacologically treated group (T, n=20) and non-pharmacologically treated group (C, n=10). T group rats received 0.1 mg/Kg of zoledronic acid (ZOL) and 1 mg/Kg of dexamethasone (DEX) three times a week for 10 consecutive weeks. C group rats were infused with vehicle. After 9 weeks from the first infusion, first maxillary molars were extracted in each of the rats. Quantitative macroscopic and microscopic analysis was performed to evaluate socket healing 8 days after extraction. Results Pharmacologically treated rats showed significant inhibition of bone remodeling. Connective tissue/alveolar bone ratio, osteoclast number and woven bone deposition were significantly reduced in group T compared to group C. Conversely, the proportion of necrotic bone was higher in group T compared to group C (0.8% and 0.3%, respectively. P=0.031). ZOL plus DEX do not cause gross effects on socket healing at a macroscopic level. Conclusions Our findings confirmed that exposure to ZOL plus DEX impairs alveolar wound repair. Inhibition of osteoclastic resorption of socket walls after tooth extraction and the inability to dispose of the necrotic bone may be considered the initial steps of MRONJ onset. Key words:Medication-related osteonecrosis of the jaw, zoledronic acid, dexamethasone, tooth extraction, rat.
- Published
- 2019