Samenvatting
Botresorptieremmers hebben een bewezen klinisch nut bij het voorkomen van complicaties bij osteoporose of bij patiënten met kanker en uitzaaiingen in het bot. Nieuwe inzichten in de pathofysiologie van deze aandoeningen hebben geleid tot het ontwikkelen van steeds krachtigere botresorptieremmers. Hoewel deze nieuwe middelen over het algemeen goed worden verdragen, is het gebruik ervan gekoppeld aan een klein risico voor het optreden van osteonecrose van de kaak (ONJ). Deze aandoening kan echter grote invloed hebben op de levenskwaliteit van de getroffen patiënten en bij ontbreken van goede behandelingsopties blijft preventie van essentieel belang. De tandarts vervult dan ook een cruciale rol in ONJ-preventie door het vermijden van invasieve tandheelkundige ingrepen (zoals extracties) bij risicopatiënten en het uitvoeren van een screenend tandheelkundig onderzoek. In dit hoofdstuk wordt een praktische benadering van de ONJ-problematiek en preventie uitgewerkt die bruikbaar is in de dagelijkse praktijk.
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Van den Wyngaert, T., Lenssen, O. (2018). Botresorptieremmers en preventie van osteonecrose van de kaak. In: Aps, J., Boxum, S., De Bruyne, M., Jacobs, R., van der Meer, W., Nienhuijs, M. (eds) Het tandheelkundig Jaar 2018. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-1784-4_12
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