Increased Prevalence of Bisphosphonate-Related Osteonecrosis of the Jaw with Vitamin D Deficiency in Rats
2010

Vitamin D Deficiency Increases Osteonecrosis Risk in Rats Treated with Bisphosphonates

Sample size: 6 publication 10 minutes Evidence: moderate

Author Information

Author(s): Hokugo Akishige, Christensen Russell, Chung Evelyn M, Sung Eric C, Felsenfeld Alan L, Sayre James W, Garrett Neal, Adams John S, Nishimura Ichiro

Primary Institution: UCLA School of Dentistry

Hypothesis

Does vitamin D deficiency increase the prevalence of bisphosphonate-related osteonecrosis of the jaw (ONJ) in rats?

Conclusion

The study found that vitamin D deficiency significantly increased the prevalence of ONJ in rats treated with bisphosphonates.

Supporting Evidence

  • 66.7% of rats with vitamin D deficiency and bisphosphonate treatment developed ONJ.
  • Control and vitamin D sufficient groups showed no ONJ lesions.
  • Vitamin D deficiency was confirmed by low serum 25(OH)D levels.

Takeaway

Rats without enough vitamin D are more likely to get a serious jaw problem when treated with certain medications.

Methodology

The study used a rat model to test the effects of bisphosphonate treatment, tooth extraction, and vitamin D deficiency on the development of ONJ.

Limitations

The study was conducted on rats, which may not fully replicate human conditions.

Participant Demographics

Sprague-Dawley rats aged 6-8 weeks.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1002/jbmr.23

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