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MRONJ patient (Section 3) - Coggle Diagram
MRONJ patient (Section 3)
Ideal tt
Extraction
Pus + mobile teeth
Prognosis of teeth - nt very promising
WARFARIN
:red_flag:
makes ur blood thinner --> flow smoothly
cn also cause, wounds to bleed fr longer
we wud need 2 organise prick test (INR) within 24 hrs f d procedure.
should be <3.5 or less
it prevents clot formation, tht v desire to wound to heal
Thyroid medications
:red_flag:
sensitise the effects of warfarin
Osteoporosis
:red_flag:
Recently had Denosumab?
Ex nt a good option, as u hv slight risk of developing condition
c/o MRONJ :star:
What happens in this condition? :pen:
body looses too much bone, this medicine prevents it from dissolving.
thus, making them stronger
affects the way our bone heals aftr tooth being pulled out
If injury occurs, may nt be able to heal properly
slight chance - may cause death of bone
Even thou it is wobbly, slightest trauma can trigger this conditon.
if any injury, exposed bone will be visible in ur mouth.
more prone to be infected.
Do today
:check:
Drain pus
through pocket
gums (reflecting)
superficial cleaning (splint teeth)
Saltwater m/w
Offer analgesic
Refer specialist (if still keen on extraction) :warning:
Referral to GP
to organise prick test :red_flag:
Stopping
DENOSUMAB
wont solve the prblm
nt dec the risks as it stays in the system fr long time
medical benefits outweigh the risk