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Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • P-ISSN2234-7550
  • E-ISSN2234-5930
  • SCOPUS, KCI, ESCI

ISSN : 2234-7550

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Vol.51 No.3

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Application of navigation system during surgery for medication-related osteonecrosis of the jaw

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2025, v.51 no.3, pp.174-179
https://doi.org/10.5125/jkaoms.2025.51.3.174
Takeda Yuri (Division of Oral and Maxillofacial Reconstructive Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan)
Iwamae Yuka (Division of Oral and Maxillofacial Reconstructive Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan)
Saito Shizu (Division of Oral and Maxillofacial Reconstructive Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan)
Ezoe Yushi (Division of Oral and Maxillofacial Reconstructive Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan)
Nogami Shinnosuke (Division of Oral and Maxillofacial Reconstructive Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan)
Yamauchi Kensuke (Division of Oral and Maxillofacial Reconstructive Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan)
Takeda, Y. , Iwamae, Y. , Saito, S. , Ezoe, Y. , Nogami, S. , & Yamauchi, K. (2025). Application of navigation system during surgery for medication-related osteonecrosis of the jaw. , 51(3), 174-179, https://doi.org/10.5125/jkaoms.2025.51.3.174

Abstract

In recent years, surgical navigation systems have shown remarkable development and allow real-time navigation of the surgical field, including locations of anatomical structures and lesions. This ability allows procedures to be performed with a high degree of accuracy. In cases of medication-related osteonecrosis of the jaw (MRONJ), proper removal of sequestrum or necrotic bone is essential for postoperative healing. However, the boundary between necrotic and healthy bone is difficult to determine in preoperative images, and there are no clear standards regarding the extent of bone resection for MRONJ. Reported here are findings associated with surgical navigation for MRONJ to determine the extent of bone resection in real time. The technique is reliable for removal of necrotic bone and provides a better understanding of the extent of resection required.

keywords
Osteonecrosis, Surgical navigation systems

Journal of the Korean Association of Oral and Maxillofacial Surgeons

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