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MRONJ

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Some medications can present a risk to oral and maxillofacial surgery treatments. MRONJ, or Medication-Related Osteonecrosis of the Jaws, has been linked with the use of bisphosphonate drugs (such as Fosamax®, Actonel®, Boniva®, Zometa®, Reclast®, Aredia®), denosumab drugs (Xgeva®, Prolia®), and other drugs (Avastin® [bevacizumab] and Sutent® [sunitinib]). Osteonecrosis of the jaws refers to bone that is dead or dying. This can be very painful.

Diagnosis of MRONJ occurs when all three characteristics are present:

  • Radiation therapy to the jaws is absent
  • History or current use of bisphosphonate or denosumab drug
  • Necrotic bone in the jaw that has lasted for more than eight weeks

Signs and symptoms of MRONJ may include

  • Exposed bone
  • Swelling, inflammation, and painful gum tissue
  • Loose teeth that were once stable

For patients who have taken bisphosphonate or denosumab drugs, MRONJ can happen suddenly. If you have noticed any oral health issues and have taken or are currently taking these drugs, please seek an oral examination from a dental health professional as soon as possible.

Patient Testimonials

Hear from our patients about their experiences with MRONJ and other procedures.

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Aiden

Roseville

"Hi, my name is Aiden and I’m from Roseville. I came to Placer Oral & Dental Implant Surgery to get an expose and bond. When I first came into this practice, everyone in here made me feel special. The staff here are very friendly and always are looking [out] for your well-being, and you always feel like you’re in the best hands here. Dr. Martin is very, very friendly and just a good all-around person, and it was very nice getting my surgery done by him. The procedure went very well and the recovery went also very well. Once my braces come off, I’m going to eat all the popcorn I can at a Dodgers game. I give this place five stars and two thumbs up. "
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Allen

Citrus Heights

"Hi, my name is Allen, and I’m from Citrus Heights. I came to Placer Oral & Dental Implant Surgery to get implants. When I first came here, I felt very comfortable. The place looks very nice, clean, very professional. Everybody here was nice, warm, friendly. Dr. Martin sat me down, when I first came in, explained step-by-step all the different options, made some recommendations, which—I have teeth now. I trust Dr. Martin and I would recommend him to anybody."
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Amanda

Antelope

"Hi, I'm Amanda from Antelope. I brought my daughter in to see Dr. Martin for some extractions. Dr. Martin and his staff were very warm and welcoming. They made us feel very comfortable and took great care of Vaida. The procedure was very quick. Our overall experience with the practice was great. I would recommend Plaster Oral and Dental Implant Surgery to anybody."
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Austin

Cool

"My name's Austin, I'm from Cool, California, and I got my wisdom teeth removed. When you first walk in, the staff is very friendly, welcoming, and very personable. Dr. Martin is very thorough with the description of what's going to happen, and he's very calming. Makes you feel welcome. It's like you're walking into a home here. The procedure went great—definitely better than I expected. The recovery was painless and overall, very easy. It was very smooth process with very little discomfort. I had a great experience here, and I would definitely recommend Dr. Martin to everybody."
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Brady

El Dorado Hills

"Hi, I'm Brady and I'm from El Dorado Hills. I came here for an extraction. When I first came to this practice, they were very kind and they were showing me around so I knew where to go. My doctor, he helped me a lot on my tooth. And my recovery, it turned out good. I feel great now. My quality of life is excellent. Having a healthy smile is important. My overall experience was very good. I would highly recommend this practice."
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Brandan

Roseville

"Hi, my name is Brandan, I'm from Roseville, and I came to Placer Oral & Dental Implant Surgery to get my wisdom tooth removed. When I first walked into Placer Oral & Dental Implant Surgery, I felt the hospitality and I felt very welcome. Everyone here was helpful, and they were working hard and had my best interest at heart. Dr. Martin—he's really chill. He made me feel very comfortable, and I knew I was working with the best. It was a very successful surgery and my recovery went very well. I had a fantastic experience here. I highly recommend Placer Oral & Dental Implant Surgery."
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Brent

Rocklin

" Hi, my name is Brent and I’m from Rocklin. I came to Placer Oral & Dental Implant Surgery for an extraction, bone graft, and an implant. When I first came here, I felt a very positive vibe from the office. They were very heartwarming and friendly. They were very personal in their service. They answered any questions I may have had about the procedures. Dr. Martin was a true professional. He was always very thorough with explaining things and taking whatever time he needed to make me feel comfortable. The procedures that I had done in the office, they were both successful and the recovery time was short and I am feeling more confident in my smile and I highly recommend Placer Oral & Dental Implant Surgery."
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Bri

Sacramento

"Hi, I'm Bri from Sacramento, and I came to this practice to get my wisdom teeth removed. When I first walked into this practice, I felt that the environment was very professional and very friendly. The staff were very welcoming. Dr. Martin is very kind and very down to earth; he's someone you can see as a friend. My wisdom teeth procedure went really well. Now I'm a lot happier, and I feel better. To all my friends in Granite Bay, Orangeville, and Analopee, I would highly recommend Placer Oral & Dental Implant Surgery. They're the best. I love this office."
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Brooklyn

El Dorado Hills

"Hi, I'm Brooklyn from El Dorado Hills, and I came to Placer Oral and Dental Implant Surgery for a tooth extraction. When I walked into this practice, everybody was really friendly and loving to me. The staff was really nice. Dr. Martin is the best. He’s so nice, he's so loving, so professional. My procedure went really well and after my tooth was gone, I felt so much better. My overall experience with this practice went really well. I would highly recommend Placer Oral and Dental Implant Surgery."

Oral Surgery Care You Can Count On

Dr. Daniel Martin offers a wide range of oral and maxillofacial surgery procedures and will work with you to design a personalized treatment plan. You can schedule your appointment, learn more about our practice, or prepare for your first visit using the buttons below. We look forward to meeting you!