American Association of Oral and Maxillofacial Surgeons Position Paper on Bisphosphonate-Related Osteonecrosis of the Jaws

Abstract

Bisphosphonate-related osteonecrosis of the jaw (BRONJ) adversely affects the quality of life and produces significant morbidity in afflicted patients. Oral and maxillofacial surgeons have been respon- sible for counseling, managing, and treating a ma- jority of these patients. The strategies set forth in this position paper were developed by a Task Force appointed by the American Association of Oral and Maxillofacial Surgeons (AAOMS). The Task Force was composed of clinicians with extensive experi- ence in caring for these patients, clinical epidemi- ologists, and basic science researchers offering a broad range of experience and background. The strategies are based on an analysis of the existing literature and the clinical observations of the expert Task Force members. AAOMS considers it vitally important that this information be disseminated to other dental and medical specialties. It is under- stood that the strategies and treatment algorithms outlined in this article are starting points based on our current understanding of BRONJ. As the knowl- edge base and experience in addressing BRONJ evolves, future modifications and refinements of the current strategies will necessarily be required.