A 71-year-old patient diagnosed with multiple myeloma (III-A) treated with chemotherapy, radiotherapy and bone marrow autotransplantation.
The patient was treated with bisphosphonates for three years, at first pamidronate at a dose of 90 mg e.v. and then zoledronate at a dose of 4 mg e.v.
Was realized by his dentist for bone exposition conventional.
CT images showed lytic lesions and pathological study showed bone necrosis and reactive osteitis.
We opted for a wide ostectomy and mucosal coverage, complemented with antibiotics and chlorhexidine eyedrops.
Three weeks after the intervention, a new bone exposure was observed, which improved with topical application of chlorhexidine gel.
