Approccio terapeutico al paziente in terapia con bifosfonati orali e affetto da cisti nasopalatina: caso clinico [The therapeutic approach to patients with nasopalatine duct cysts who are receiving oral bisphosphonates: A case report]

Objectives: The authors describe the enucleation of a nasopalatine duct cyst in a patient receiving oral bisphosphonate therapy, which can influence the outcome of dental treatments by altering the physiological tissue healing process. Materials and methods: A surgical approach was used to remove a nasopalatine duct cyst in a patient receiving oral bisphosphonate therapy. Management requires a holistic view of the case in collaboration with the patient's physicians. Results: Ten days after surgery, the patient was reassessed, and the mucous membrane was found to be healing normally. The patient was monitored with a specific follow-up protocol. Conclusions: Non-healing of hard and soft tissues is a risk in patients receiving oral bisphosphonate who undergo invasive oral surgery procedures. Thus, an appropriate antibiotic prophylaxis is essential before and after surgery. © 2012 Elsevier Srl. All rights reserved.