Recommendations for the Prevention of Bisphosphonate-Related Osteonecrosis of the Jaw: A Systematic Review

The aim of this study was to assess the quality of and outline the differences among recommendations of published clinical practice guidelines (CPGs) for the management of bisphosphonate-associated osteonecrosis of the jaw. We conducted a systematic literature search in PubMed, Cochrane, Embase, Web...

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Bibliographic Details
Published in:The journal of evidence-based dental practice 2018-06, Vol.18 (2), p.142-152
Main Authors: Aparecida Cariolatto, Flávia, Carelli, Julia, de Campos Moreira, Taís, Pietrobon, Ricardo, Rodrigues, Clarissa, Bonilauri Ferreira, Ana Paula
Format: Article
Language:English
Subjects:
Bisphosphonates
Clinical practice guidelines
Dentistry
Jaw
Osteonecrosis
Prevention
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Summary:The aim of this study was to assess the quality of and outline the differences among recommendations of published clinical practice guidelines (CPGs) for the management of bisphosphonate-associated osteonecrosis of the jaw. We conducted a systematic literature search in PubMed, Cochrane, Embase, Web of Science, and Google web site. We selected CPGs supported by a nongovernmental organization or national institutes, related to bisphosphonate-associated osteonecrosis of the jaw in adults, in English language, and dated from January 2008 onward. The validity of each included CPG was appraised according to 2 validated appraisal tools for CPG that were independently used by 2 reviewers. We identified 724 articles, of which 13 were included based on our eligibility criteria. Most CPGs were of good quality based on the appraisal tools for CPGs used in this study. We did not find consensus on all the recommendations of the evaluated CPGs. Thus, each clinical case must be assessed individually, considering the risks and benefits on the proposed dental treatment.
ISSN:1532-3382
1532-3390
DOI:10.1016/j.jebdp.2017.11.002