Clinical Study

Conservative Surgical Management of Stage I Bisphosphonate-Related Osteonecrosis of the Jaw

Table 2

Clinical staging and management strategies by Bagan et al. [22] (2009).

Stage IExposed bone necrosis or small oral ulceration without exposed bone necrosis, but without symptoms

Stage IIExposed bone necrosis or a small oral fistula without exposed bone necrosis, but with symptoms controlled with medical treatment
Stage IIExposed bone necrosis or a small oral fistula without exposed bone necrosis, but with symptoms not controlled with medical treatment
Stage IIIJaw fractures, skin fistula, and osteolysis extending to the inferior border

Bagan and coll. staging system for BRONJ (modified from [22]).