9. Surgical Interventions in ONJ Management
Surgical interventions can become necessary in the advanced stages of ONJ, especially when the disease has caused extensive damage to the jawbone. These procedures aim to remove dead bone tissue, alleviate pain, and improve the function and appearance of the jaw.
The decision to proceed with surgery is not taken lightly. It involves a careful evaluation of the patient’s overall health, the extent of jawbone damage, and the potential risks and benefits of the procedure. In some cases, conservative treatments such as medication and oral rinses may be attempted before resorting to surgery.
When surgery is deemed necessary, the goal is to remove the necrotic bone tissue while preserving as much of the healthy jawbone as possible. This requires precision and skill on the part of the oral surgeon. Post-surgical care is crucial to ensure proper healing and prevent complications.
Patients undergoing surgery for ONJ need comprehensive post-operative care. This includes pain management, antibiotics to prevent infection, and regular follow-up appointments to monitor healing. The patient’s commitment to follow-up care and adherence to post-operative instructions is critical for a successful outcome.
Surgical intervention for ONJ represents a significant step in the management of this condition. While it can provide relief from symptoms and improve the overall health of the jaw, it also requires a commitment to post-operative care and ongoing management to ensure the best possible outcome. (9)
