Table 1.
Potential mechanisms of ONJ [19]
Inhibition of bone remodeling | Compromised bone microenvironment functioning affecting bone remodeling and repair |
Vascular | Antiangiogenic affects delaying wound healing and/or affecting micro-infarction in bone and/or soft tissues |
Infection and inflammation | Microorganisms of the oral cavity promoting cell death in the bone and/or oral soft tissues |
Genetic predisposition | Genetic polymorphisms affecting drug metabolism, excretion, or drug targets within pathways of bone metabolism and/or wound healing |
Drug interactions | Drug interactions between chemotherapy and bisphosphonate selectively promoting cell death |