Postoperative healing and recurrence in osteonecrosis of the jaw: influence of risk factors and surgical approach

The findings underscore the importance of surgical intervention - particularly complete necrotic bone resection with tension-free wound closure - as the cornerstone of effective treatment for osteonecrosis of the jaw, irrespective of its origin (ARONJ or ORN). Traditional risk factors did not predict wound-healing complications. Within the limitations of this retrospective study, common adjunctive measures did not appear to influence healing outcomes. Given the high rate of early recurrence, vigilant postoperative follow-up-especially within the first 100 days-is essential for optimal patient management.

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Publication Details

Journal
Clinical Oral Investigations
Published
2026-03-28
DOI
https://doi.org/10.1007/s00784-026-06851-6
Primary Topic
Bone health and treatments
Type
article
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article

Postoperative healing and recurrence in osteonecrosis of the jaw: influence of risk factors and surgical approach

Lucas Maximilian Ritschl, Helena Kram, Katharina Pippich, Jannik Ketschau et al.
Clinical Oral Investigations
Bone health and treatments
article

Postoperative healing and recurrence in osteonecrosis of the jaw: influence of risk factors and surgical approach

Lucas Maximilian Ritschl, Helena Kram, Katharina Pippich, Jannik Ketschau, Herbert Deppe, Pia Erben, Nils Krautkremer, K.‐D. Wolff, Jonathan Mohr, Claire Cherdron
article en

Abstract

The findings underscore the importance of surgical intervention - particularly complete necrotic bone resection with tension-free wound closure - as the cornerstone of effective treatment for osteonecrosis of the jaw, irrespective of its origin (ARONJ or ORN). Traditional risk factors did not predict wound-healing complications. Within the limitations of this retrospective study, common adjunctive measures did not appear to influence healing outcomes. Given the high rate of early recurrence, vigilant postoperative follow-up-especially within the first 100 days-is essential for optimal patient management.

Clinical Oral InvestigationsVol. 30(4)
TUM Klinikum (DE)
Good health and well-being
Openalex Percentile: Top 4%
Bone health and treatments
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Postoperative healing and recurrence in osteonecrosis of the jaw: influence of risk factors and surgical approach — Lucas Maximilian Ritschl, Helena Kram, et al. · Clinical Oral Investigations (2026) | TGRS Research Map | TGRS