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. 2013 Sep;54(3):138–145.

Tab. II.

Risk factors identifying BPN-treated patients at high risk for developing ONJ following dental surgery.

Risk factor Rank Conferred risk References
BPN administration route intravenous > oral High [22, 25]
BPN type
BPN dose
BPN therapy duration
Zoledronate > Pamidronate
high > low
long > short
High
High
Medium
[18, 19]
Cause of BPN therapy Cancer > osteoporosis Medium [20, 21]
BPN treatment cycles 18 cycles or more > 12 cycles or less High [62]
Oral hygiene Poor > high Medium [26]
Cyclosporine therapy Yes > no Low [41]
Antiangiogenic therapies (e.g.interferon, etc.) Yes < no Low [45]
Smoking Yes < no Medium [46]
Multiple myeloma Yes < no High [27]
Systemic blood diseases and lymphomas Yes < no Medium [27]
Autoimmune diseases Yes > no Low [46];
Local radiotherapy Yes > no High [3]
Local dental and periodontal diseases Yes > no Medium [27, 49]
Obesity Yes > no Low [19]
CYP2C8 gene polymorphism TT homozygosity > heterozigosity and wild type High [51]
Prothrombin gene polymorphisms G20210 > A Low [53]
Leiden V factor gene polymorphisms Arg5406 > Gln Low [53]
Plasminogen-activating inhibitor-1 gene polymorphism 4G/4G homozygosity > heterozigosity and wild type Low [55]
Multidrug resistance gene 1 polymorphism Exon 26: C3435 > T;
Exon 21: G2677 > T/A
Low [56]
TNF-alpha gene polymorphism G307 > A Low [58]