Özet:

The clinical signs of Bisphosphonate related osteonecrosis of the jaws are exposed to necrotic bone, pain, inflammation and pus drainage. The absence of characteristic clinical signs of bisphosphonate related osteonecrosis of the jaws, specifically exposed necrotic bone, can lead to late diagnosis and refractory treatment. CASE REPORT: 56-year-old female patient, was admitted to our clinic with a complaint of pain in the right lower jaw. Clinical and radiographic examination showed Stage 2 bisphosphonate related osteonecrosis and surgical debridement was performed; after surgery the mucosa healed completely, but it was determined that bone necrosis continued under the intact mucosa. The patient should be followed up long-term after conservative treatment, as well as the primary diagnosis of bisphosphonate related osteonecrosis of the jaws without exposed necrotic bone, after surgical debridement, mucosal healing can be completed and the bone necrosis may continue under the intact mucosa. In these cases, sekestrectomy, primary closure of the wound and aggressive antibiotic therapy should be preferred. Key words: Bisphosphonates, osteonecrosis, necrotic bone.

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