Author/Authors :
Mosaferi, Hossein Oral and Maxillofacial Radiology Department - Shahid Beheshti University of Medical Sciences, Dental School - International Branch, Tehran , Fazlyab, Mahta Department of Endodontics - Dental Branch - Islamic Azad University of Medical Sciences, Tehran - Iranian Center for Endodontic Research - Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran , Sharifi, Sanaz Oral and Maxillofacial Radiology - Dental School - Jondy Shapoor University, Ahvaz , Rahimian, Sepideh Oral and Maxillofacial Radiology Department - Shahid Beheshti University of Medical Sciences, Dental School - International Branch, Tehran
Abstract :
A 52-year-old Caucasian woman suffering from pain in the anterior maxillary
region, presented to the clinic. Examination revealed a draining sinus tract in the
buccal vestibule of the maxilla in the left anterior segment and expansion in the
middle of palate. On conventional radiographic examination the lesion was
initially assumed to be a periapical problem related to the incisors but
subsequently it was diagnosed to be a bisphosphonate osteonecrosis.
Conclusion: Acquiring a comprehensive medical history from the patients,
conducting the clinical vitality tests and most importantly being familiar with
the non-odontogenic lesions that can be side effects of specific medications are
important requirements for reaching a correct diagnosis.
Keywords :
Bisphosphonate , Breast Cancer , Osteonecrosis , Periapical Pathosis
