King's College London

Research portal

Flapless piezoelectric surgery in the management of jaw necrosis - a case series

Research output: Contribution to journalArticlepeer-review

V. Patel, D. Patel, M. Mcgurk, C. Sproat, J. Kwok

Original languageEnglish
Pages (from-to)228-234
Journaljournal oral surgery
Issue number4
Early online date5 Jan 2017
Accepted/In press22 Nov 2016
E-pub ahead of print5 Jan 2017
PublishedNov 2017

King's Authors


Objective: Bisphosphonates and head and neck radiation are commonly implicated as causative factors for osteonecrosis of the jaw. Once established, no treatment method can guarantee resolution of the condition. Current management consists of a pharmacological approach for early stage necrosis but failure of this leaves only surgical intervention, which carries a risk of antagonising the condition. Piezoelectric surgery provides the opportunity to debride bone without traumatising the overlying soft tissue. Method: We present a case series of patients (n = 12) who underwent flapless piezoelectric debridement of osteonecrosis of the jaw related to either bisphosphonates or radiation. Results: Of the 12 patients, 67% (n = 8) of cases had successful healing. Of the remaining four cases partial healing had been noted. Conclusion: Piezoelectric surgery may have a potential role in minimally invasive surgery for osteonecrosis of the jaw with further addition and refinement of the technique.

View graph of relations

© 2020 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454