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. 2020 Aug 18;17(16):5998. doi: 10.3390/ijerph17165998

Table 1.

Drug-related, systemic and local risk factors of Medication-Related Osteonecrosis of Jaws (MRONJ).

Risk Factor
Drug-Related Systemic Local
Product (Antiresorptive/antiangiogenic drug)
Route of administration (po, sc, iv, im)
Cumulative dosage
Duration of treatments
Supportive care (e.g., chemotherapy, steroids, thalidomide)
Underlying disease (solid tumors, multiple myeloma, osteoporosis)
Comorbidity (e.g., diabetes, rheumatoid arthritis, hypocalcemia, hyperparathyroidism)
Lifestyle (e.g., smoking)
Dental/periodontal infection
Peri-implantitis
Oral surgeries (e.g., dental extractions)
Unfitting removable dentures
Anatomical conditions (e.g., torus, exostosis, pronounced mylohyoid ridge)