Bisphosphonate Osteonecrosis Jaw | Medical Algorithm

Are you evaluating a patient who is taking a bisphosphonate?

Yes

Number of foci of exposed bone over the mandible and/or maxilla

Maximum diameter of an area of exposed bone

Does the patient have?

• pain?

Yes

• swelling?

Yes

• a foul taste in the mouth?

Yes

• other symptoms?

Yes

• evidence of osteolysis?

Yes

• sequestrum formation?

Yes

• an orocutaneous fistula?

Yes

• a pathologic fracture in an exposed bone?

Yes

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Data complete?

Evaluation appropriate?

Does the patient have evidence of osteonecrosis of an oral bone?

Stage of osteonecrosis

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Evaluation

Results

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Interpretation and Description

References

Specialty

Objective

ICD-10

Clinical Stages of Osteonecrosis Associated with Bisphosphonate Therapy

Purpose: To evaluate a patient with osteonecrosis of the mandible or maxilla secondary to bisphosphonate therapy.

Evaluation

Results

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Interpretation and Description

References

Specialty

Objective

ICD-10