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An oral complication of bisphosphonate therapy

BMJ 2024; 386 doi: https://doi.org/10.1136/bmj-2024-081080 (Published 12 September 2024) Cite this as: BMJ 2024;386:e081080

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Bisphosphonates

  1. Sagar Khanna1,
  2. Brandon Prendes23
  1. 1Oral and Maxillofacial Surgery, Head and Neck Institute, Cleveland Clinic, Cleveland, OH 44195, USA
  2. 2Head and Neck Surgery, Head and Neck Institute, Cleveland Clinic
  3. 3Facial Plastic and Microvascular Surgery, Head and Neck Institute, Cleveland Clinic
  1. Correspondence to: S Khanna docsagarkhanna{at}gmail.com

During a routine dental examination, a 69 year old man was found to have multiple areas of exposed bone on the lingual aspect of the right mandible (fig 1). He had a history of myeloma and was being treated with lenalidomide and monthly infusions of 4 mg zoledronic acid for chronic …

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