Teriparatide therapy for denosumab-induced osteonecrosis of the jaw in a male osteoporotic patient.

Neuprez, Audrey; Rompen, E; Crielaard, J M; Reginster, Jean-Yves · Calcif Tissue Int · 2014

case_report · Level V

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Abstract

We report the first case of teriparatide adjuvant role in the management of a denosumab-induced osteonecrosis of the jaw in a male subject with idiopathic osteoporosis. Clinical benefits and CT healing were obtained within 2 months of teriparatide initiation and denosumab withdrawal. Increase in bone turnover previously described, when denosumab treatment is removed, might have a synergistic effect to the stimulating effect of teriparatide on bone remodeling to promptly heal osteonecrosis of the jaw.

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