Figure 4.

A 73-year-old woman suffering from multiple myeloma who received intravenous administrations of zoledronate. The patient developed bisphosphonate-related osteonecrosis of the jaws closely related to a dental implant in the left mandibular body and subsequently mandibular fracture in the area of jaw bone necrosis. (A) Intraoperative view after extraoral approach illustrating necrotic bone parts closely related to a dental implant in the left mandible (region 33) and corresponding preoperative panoramic radiograph (B). (C) Intraoperative view after removal of the implant and the necrotic bone parts, and fracture reduction and rigid internal fixation using a matrix mandible preformed plate with corresponding postoperative panoramic radiograph (D).