A 49-year-old patient, smoker of 30 cigarettes/day, previously diagnosed with breast cancer (T1 N0 M0), treated with surgery, chemotherapy and radiotherapy, who began treatment with zoledronate 4 mg.
She was referred to our stomatologist's consultation when presenting mandibular bone exposure after dental extractions, together with periodontal discomfort and paresthesias in the territory of the inferior dental nerve targets, without radiographic signs.
He had been diagnosed and treated as dental phlegmon presenting improvement with antibiotic treatment without complete resolution of the process.
Conservative measures, antibiotic therapy (amoxicillin-clavulanic) and topical application of chlorhexidine gels were prescribed, with improvement of symptoms.
