(A) Two weeks after tooth extraction, gingival tissue adjacent to the tooth extraction site was harvested for cell dissociation followed by single cell RNA-sequencing. (B) Using signature gene expression, myeloid cells, T cells, and B cells were identified. (C) T cell-related gene expression indicated the presence of Cd8a+cytototoxic, Cd27+matured T cells derived from mouse bisphosphonate-related osteonecrosis of the jaw (BRONJ) gingiva. Il17f expression phenotype was decreased by HMDP-DNV treatment, which increased Foxp3 Treg phenotype. (D) Macrophage-related genes demonstrated an increase in M1 macrophages in untreated BRONJ gingiva, which was decreased by HMDP-DNV treatment. (E) Human BRONJ biopsy samples showing that necrotic bones (Nec) were associated with a large cluster of neutrophils (white arrows).