MRONJ Management: Conservative & Surgical Care Options
A comprehensive guide to managing medication-related osteonecrosis of the jaw, tailored to the extent of bone involvement.
Treatment begins with
Staging Assessment
Conservative Care
Coordination With Physician
Surgical Care if Needed
This management is used for confirmed or suspected MRONJ.
You may need this if...
These signs may indicate that this treatment is the recommended course of care:
- Exposed jaw bone in someone on relevant bone-strengthening medication
- Pain, swelling or infection at an exposed bone site
- A history of dental extraction while on relevant medication
- Confirmed MRONJ requiring ongoing management
A maxillofacial surgeon's evaluation confirms whether this treatment is the right option for you.
What Does MRONJ Management Involve?
Management is tailored to the stage of MRONJ, often starting with conservative wound care and antiseptic rinses, with surgical removal of dead bone reserved for more advanced or symptomatic cases.
Treatment intensity is matched to the specific stage and extent of bone exposure, not a single fixed approach.
When This Treatment is Considered
This management is used for confirmed or suspected MRONJ.
- Exposed jaw bone in someone on relevant bone-strengthening medication
- Pain, swelling or infection at an exposed bone site
- A history of dental extraction while on relevant medication
- Confirmed MRONJ requiring ongoing management
The Care Pathway
1. Staging Assessment
The extent of bone exposure and symptoms determine the management stage.
2. Conservative Care
Antiseptic rinses, antibiotics if needed, and careful monitoring are used first.
3. Coordination With Physician
Management is coordinated with the doctor managing your underlying medication.
4. Surgical Care if Needed
Surgical removal of dead bone is considered for advanced or non-responding cases.
“Your care team supports you through every stage, from evaluation to recovery and follow-up.”
Expected Benefits and Possible Risks
Appropriate, staged management controls symptoms and progression in most cases of MRONJ.
Every treatment has potential risks. Your surgeon will discuss your individual risks before treatment.
Recovery & Follow-up
Conservative management is ongoing rather than a fixed course; surgical cases have an additional healing period.
Your care team will coordinate closely with your physician and monitor the exposed area over time.
Careful follow-up and guidance on diet and oral hygiene all play an important role in achieving the best possible outcome.
Questions to Ask Your Care Team
- 1.What stage is my MRONJ and what does that mean for treatment?
- 2.Should I stop my bone-strengthening medication?
- 3.Will I need surgery?
- 4.How can I prevent this from affecting other areas?
Not Sure What You Need?
Speak to a Care Guide and we'll help you choose the right maxillofacial surgeon.
Talk to Care GuideA care guide can match your condition to the right maxillofacial surgeon.
Share your concern or existing reports. We will help you choose the right hospital, doctor and appointment.
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