American Association of Oral and Maxillofacial Surgeons’ Position Paper on Medication-Related Osteonecrosis of the Jaws—2022 Update

• Published in: Journal of oral and maxillofacial surgery Vol. 80; no. 5; pp. 920 - 943
• Main Authors: Ruggiero, Salvatore L., Dodson, Thomas B., Aghaloo, Tara, Carlson, Eric R., Ward, Brent B., Kademani, Deepak
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2022
• Subjects: Bisphosphonate-Associated Osteonecrosis of the Jaw - diagnosis; Bisphosphonate-Associated Osteonecrosis of the Jaw - etiology; Bisphosphonate-Associated Osteonecrosis of the Jaw - surgery; Bone Density Conservation Agents - adverse effects; Diphosphonates - adverse effects; Humans; Jaw; Oral and Maxillofacial Surgeons; Osteonecrosis - chemically induced; Osteonecrosis - surgery
• ISSN: 0278-2391; 1531-5053
• DOI: 10.1016/j.joms.2022.02.008

Strategies for management of patients with, or at risk for, medication-related osteonecrosis of the jaws (MRONJ) – formerly referred to as bisphosphonate-related osteonecrosis of the jaws (BRONJ)—were set forth in the American Association of Oral and Maxillofacial Surgeons (AAOMS) position papers in 2007, 2009 and 2014. The position papers were developed by a committee appointed by the AAOMS Board of Trustees and comprising clinicians with extensive experience in caring for these patients, as well as clinical and basic science researchers. The knowledge base and experience in addressing MRONJ continues to evolve and expand, necessitating modifications and refinements to the previous position papers. Three members of the AAOMS Committee on Oral, Head, and Neck Oncologic and Reconstructive Surgery (COHNORS) and three authors of the 2014 position paper were appointed to serve as a working group to analyze the current literature and revise the guidance as indicated to reflect current knowledge in this field. This update contains revisions to diagnosis and management strategies and highlights the current research status. AAOMS maintains that it is vitally important for this information to be disseminated to other relevant healthcare professionals and organizations.