الفهرس 
CONTENTSOnly 14 pages are availabe for public view
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Abstract
Summary and Conclusion Suitable management of BRONJ is among the most controversial issues in maxillofacial pathology, creating a wide variety of opinions and proposed treatment modalities. Ideally, treatment of BRONJ must realize main aims: Complete removal of necrotic bone, relief of patient pain, complete healing of soft tissue to protect the bone from any future recurrence of the lesion. The debate between the supporters of either conservative or surgical intervention is still an issue has not been resolved, not a consensus reached. While the advocates of nonsurgical conservative management because of surgery cause more trauma and more disease progression, other recommendations focus on surgical treatment to remove all necrotic bone and help the tissue to heal. For this purpose, this study was carried out on twelve patients with BRONJ were collected from department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tanta University. Surgical debridement and resection were done to treat them using intraoperative image fluorescence technique. The evaluation of patients was done: (1) Clinically: one week, two weeks, three weeks, three months and six months postoperatively. Evaluation was included: wound healing, pain evaluation. (2) Radiographically: panorama and coronal C.T. postoperatively to observe bone behavior after surgery.Summary and Conclusion 69 The results of this study were: (1) The mean age of our treated patients at the time of surgery was 49 years (range 30 to 70). (2) The main etiology of BRONJ was tooth extraction (3) The most common site of occurring the BRONJ was the lower jaws. (4) In our study, the clinical significance of pain relief after the surgical intervention and eradication of necrotic bone was observed. (5) In our study, the wound healing after double layer closure was highly effective. (6) Histopathological findings supported our hypothesis in complete removal of necrotic bone (7) Radiographic measurements using CBCT showed good marker in define extension of the lesion than panoramic radiographs.