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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 2 Identification of the patients’ risk profile for MRONJ

From: Anti-resorptive therapy in the osteometabolic patient affected by periodontitis. A joint position paper of the Italian Society of Orthopaedics and Traumatology (SIOT) and the Italian Society of Periodontology and Implantology (SIdP)

Systemic risk factors

Local risk factors

Periodontally related factors

Non-periodontally related factors

AR therapy > 3 years

Poor oral hygiene (PlI > 30%)

Root/cervical caries

Age > 65

Generalized gingivitis (BOP > 30%)

Periapical endodontic lesion

Previous history of chemotherapy

Untreated/uncontrolled periodontitis (PD > 4 mm, BOP > 20%, progressive bone loss)

Partially impacted teeth

Diabetes

Uncontrolled periodontitis patient treated with dental implants

Fractured teeth/residual roots

Steroid therapy

Presence of peri-implantitis (PD > 6 mm, BOP/PUS, RX bone loss > 3 mm)

Traumatic ulcerations in the presence of a removable partial denture

Kidney diseases

  

Cardiovascular diseases

  

Smoking

  

Rheumatoid arthritis