Tratamentos cirúrgicos da osteonecrose dos maxilares relacionada a medicamentos: vantagens e limitações
DOI:
https://doi.org/10.33448/rsd-v12i4.41161Palavras-chave:
Osteonecrose; Osteonecrose da arcada osseodentária associada a difosfonatos; Procedimentos cirúrgicos bucais; Doenças maxilomandibulares.Resumo
Objetivo: O objetivo deste trabalho é discutir os métodos cirúrgicos disponíveis para o tratamento da OMRM, apontando suas vantagens e limitações. Metodologia: Foi realizada uma revisão integrativa da literatura, através de busca conduzida na base de dados virtuais PubMed, a partir do termo MeSH em inglês “bisphosphonate associated osteonecrosis of the jaw/surgery” e inclusão de 26 publicações. Resultados: A intervenção cirúrgica é uma opção de tratamento que busca reduzir a progressão da doença, na qual, a intervenção precoce pode predizer resultados benéficos para o paciente. As abordagens cirúrgicas conferem resultados superiores aos regimes terapêuticos conservadores, com taxas de sucesso de 80-90% e 10-62%, respectivamente. Para estabelecer o tratamento, deve-se levar em consideração a remoção do osso necrótico que pode ser realizada através de curetagem, sequestrectomia e ressecção cirúrgica. Já para abordagem dos tecidos moles, podem ser realizados diferentes retalhos de acordo com as indicações. Conclusão: O tratamento cirúrgico demonstrou manutenção da cobertura da mucosa, melhora da qualidade de vida e retomada rápida da terapia antirreabsortiva para todos os estágios da doença, apresentando elevadas taxas de sucesso terapêutico. Entretanto, devem ser estimulados esforços contínuos de investigação do melhor tratamento para esta patologia.
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Copyright (c) 2023 Nicole Serqueira da Silva ; Susana Braga Santoro Santiago; Daniel Neto Campos; Livia Cristina Buriche Ferreira da Silva; Juliana Lima de Oliveira Amorim Cabral ; Emanuel Mendes Sousa ; Inger Teixeira de Campos Tuñas
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