Brief description of condition
Exposed avascular bone. Patients taking a bisphosphonate drug (e.g for osteoporosis) or who have had radiotherapy to the head and neck may be at increased risk of developing osteonecrosis of the jaw.
Key signs and symptoms
- Exposed intra oral bone, with failure to heal in the absence of malignancy
Recommend optimal analgesia.
Advise the patient to rinse their mouth with 0.2% chlorhexidine mouthwash.
If of recent onset, advise the patient to seek urgent care. If chronic, advise the patient to seek non-urgent care.
Do not prescribe antibiotics unless there is a discharge.
Minimise the need for extractions and avoid minor oral surgery.
Refer to an oral surgeon or oral and maxillofacial surgeon to establish diagnosis.
Chlorhexidine mouthwash is not suitable for children under 7 years old.
The maximum recommended dose of painkillers that takes into account the patient's age and is within the normal safe limits.