Journal of the National Cancer Institute Advance Access originally published online on June 27, 2007
JNCI Journal of the National Cancer Institute 2007 99(13):986-987; doi:10.1093/jnci/djm029
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© The Author 2007. Published by Oxford University Press.
EDITORIALS |
Bisphosphonate Therapy for Cancer and Prevalence of Inflammatory Jaw Conditions
Affiliations of authors: Divisions of Oral and Maxillofacial Surgery, Oral Medicine and Dentistry (SBW), Rheumatology (DHS), and Pharmacoepidemiology (DHS), Brigham and Women's Hospital, Boston, MA
Correspondence to: Sook-Bin Woo, DMD, MMSc, Division of Oral and Maxillofacial Surgery, Oral Medicine and Dentistry, Brigham and Women's Hospital Surgery, 1620 Tremont St, Ste 3-028, Boston, MA 02120 (e-mail: swoo@partners.org).
| The first 10% of the full text of this article appears below. |
Patients with multiple myeloma and metastatic cancer to the bones show reduced incidence of skeletal-related events when they are treated with intravenous bisphosphonates such as pamidronate or zoledronic acid (1,2). For many years, the continuous, often monthly, use of bisphosphonates in such patients was not questioned. However, in 2003, an adverse reaction, termed bisphosphonate-associated osteonecrosis of the jaws, was reported in this patient population (3,4). To date, more than 600 cases have been reported, but it is likely that many more exist. The prevalence of osteonecrosis of the jaws in the oncologic population was 6%11% in small single-center retrospective studies (5
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J Natl Cancer Inst 2007 99: 1016-1024.
J Natl Cancer Inst 2007 99: 981.
J Natl Cancer Inst 2007 99: 981.