Evidence map›Paper›PMID 41507697›Full record

SynthesisOral diseases2026

MRONJ Risk Related to Dental Implants in Osteoporosis Treated With Denosumab: A Systematic Review.

Rebheca Maria Pereira Santos, Giulia Ottaviani, Roberto Di Lenarda, Matteo Biasotto, Katia Rupel

Abstract readSystematic Review
In one paragraph

Synthesis in Oral diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rebheca Maria Pereira SantosDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Giulia OttavianiDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Roberto Di LenardaDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Matteo BiasottoDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Katia RupelDepartment of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.ORCID https://orcid.org/0000-0002-6150-9439

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this systematic review was to assess the impact of dental implants in osteoporotic patients undergoing treatment with denosumab on MRONJ development, considering both implant surgery-triggered osteonecrosis (ISTO) and implant presence-triggered osteonecrosis (IPTO).

methodsAn electronic literature search was conducted applying the clinical PICO question, "What is the effect of dental implants on the risk of developing MRONJ in osteoporotic patients undergoing treatment with denosumab?" The full texts of 239 retrieved articles were screened, and 10 studies were included in the quality assessment and data extraction process.

results10 articles were selected for data extraction: 6 case series, 2 cohort studies, 1 case control study, and 1 randomized controlled trial. The main findings reported in these studies were evaluated, including factors such as the timing of implant placement, the influence of peri-implantitis and comorbidities, antiresorptive therapy, and the cases of MRONJ.

conclusionsThe current literature shows high heterogeneity, small sample sizes, and a lack of standardization, making it difficult to draw definitive conclusions. However, despite MRONJ being relatively rare, important factors were identified that could influence outcomes, such as transitioning from bisphosphonates to denosumab therapy, timing of implant placement, and the presence of peri-implantitis.

Indexed as

Bisphosphonate-Associated Osteonecrosis of the JawBone Density Conservation AgentsDenosumabDental ImplantsOsteoporosisHumansRisk FactorsBone Density Conservation AgentsDenosumabDental Implantsantiresorptive therapydenosumabdental implantsMRONJosteoporosis

Identifiers

PMID41507697
PMCPMC13248576

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.