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Paget's Disease of Bone and Osteonecrosis

From Volume 36, Issue 3, April 2009 | Pages 166-172

Authors

Jadbinder Seehra

BDS(Hons), MFDS, MSc, MOrth, FDS

Senior House Officer, Unit of Oral Medicine, The School of Dentistry, University of Manchester, Higher Cambridge Street, Manchester, M15 6FH, UK

Articles by Jadbinder Seehra

Philip Sloan

BDS, PhD, FDS RCS(Eng), FRCPath

Professor of Experimental Oral Pathology, The School of Dentistry, University of Manchester, Higher Cambridge Street, Manchester, M15 6FH, UK

Articles by Philip Sloan

Richard J Oliver

BDS, BSc, PhD, FDS(OS), RCPS(Glasg)

Senior Lecturer and Honorary Consultant in Oral Surgery, School of Dentistry, University of Manchester, Higher Cambridge Street, Manchester, UK

Articles by Richard J Oliver

Abstract

Paget's disease of bone, although common in the long bones and pelvis, is less common in the head and neck. A 20-year follow-up is reported of a patient who was diagnosed with Paget's disease following the investigation of her initial oral complaint. Following surgical extraction of two teeth in her maxilla, the sockets have failed to heal, despite numerous attempted interventions. This case highlights both the cranio-maxillofacial and oral manifestations of Paget's disease of bone, its effects on surgical exodontia and the possible effects of bisphosphonate therapy.

Article