Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)2070-9277Voronezh State Medical University named after N.N. Burdenko - The State Budgetary Institution of Higher Professional Education «Voronezh State Medical University named after N.N. Burdenko» of the Ministry of Public Health of the Russian1073910.18499/2070-9277-2025-28-1-10-13UnclassifiedRehabilitation after surgical interventions in bisphosphonate related lower jaw osteonecrosisMedvedevYuri Alexeyevich<p>MD, Professor of the Department of Surgical Dentistry and Maxillofacial Surgery with a course in ENT Diseases</p>uamedvedev@gmail.comFilimonovaLyubov Borisovna<p>PhD, Associate Professor, Head of the Department of Surgical Dentistry and Maxillofacial Surgery with a course in ENT Diseases</p>bsprgmu@yandex.ruZhuravlevAlexander Nikolaevich<p>PhD, Associate Professor of the Department of Surgical Dentistry and Maxillofacial Surgery with a course in ENT Diseases</p>sanekzhu@yandex.ruKabanovaArina Alexandrovna<p>MD, Associate Professor, Head of the Department of Maxillofacial Surgery and Surgical Dentistry with the course</p>arinakabanova@mail.ruRyazan State Medical University of the Ministry of Health of the Russian FederationEducational institution "Vitebsk State Order of Friendship of Peoples Medical University"30032025281101321032025Copyright © 2025, Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)2025<p>The purpose of this study is to enhance the quality of life for patients who have undergone surgical procedures for osteonecrosis in the maxillofacial region by refining approaches to surgical intervention planning and rehabilitation, with an emphasis on restoring chewing function.</p> <p>The study analyzed methods for treating medication-induced osteonecrosis of the jaw and explored options for restoring lost functions. Nine patients diagnosed with this condition were examined, each undergoing a standard dental examination and computed tomography. In the first stage of rehabilitation, patients received dietary guidance, recommendations on individual oral hygiene, myogymnastics, and instructions for maintaining a proper rest regimen. The second stage included orthopedic rehabilitation and the continuation of myogymnastics.</p> <p>Six months after the start of rehabilitation, patients exhibited moderate facial asymmetry due to soft tissue deformation in the lower third of the face resulting from bone deficiency. In the submandibular area, a pale pink scar without discharge was observed. Bimanual palpation along the plate fixation area revealed a firm, elastic mass of soft tissues, with no exposed bone tissue found in the oral cavity. Full restoration of chewing function was not achieved.</p> <p>The findings underscore the necessity for developing new approaches and improving existing methods for planning rehabilitation measures. A well-structured, multidisciplinary rehabilitation plan with active patient involvement is essential for achieving successful postoperative outcomes.</p>rehabilitation, dental rehabilitation, osteonecrosisреабилитация, стоматологическая реабилитация, остеонекроз1.1. Теремов Д.Д., Румянцев В.А. Остеонекроз нижней челюсти как осложнение антирезорбтивной терапии // Остеопороз и остеопатии. — 2023. — Т. 26. — №1. — С. 40-46. doi: https://doi.org/10.14341/osteo129652.2. Brown J, Saad F, Stopeck A, et al. Risk factors for developing osteonecrosis of the jaw (ONJ) in patients receiving denosumab or zoledronic acid for bone metastases: Results from three phase 3 trials. The European Cancer Congress 2013, Sep 30. Abstract 1305.3.3. Керимханов К.А., Бобынцев И.И., Иорданишвили А.К. 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