Risk Assessment of BRONJ in Oncologic Patients Treated with Bisphosphonates: Follow-Up to 18 Months

Table 1

Clinical protocol for the integrated care for oncology patient implemented from 2001 in Surgical and Special Stomatology Division—Ospedali Riuniti Hospital of Ancona [12, 13].

Protocol for the integrated care for oncology patient
Diagnostic section	Anamnesis
	Clinical examination
	Oral radiographic
	Indices of oral health
	Periodontal status
	Photographic documentation
Therapeutic section	Treatment before starting N-BF therapy; step 1	Treatment during N-BF therapy; steps 2 and 3	Follow-up
	(i) First visit; (ii) RX exams; (iii) Tooth extractions, endodontics, and restorative; (iv) Professional oral hygiene and education about the oral hygiene at home; (v) Prophylaxis of caries; (vi) Instructions about complications and awareness of the problem	(i) Adaptation of symptomatic and preventive therapy—follow-up oral hygiene to 15gg—1 month; (ii) Follow-up tissues and clinical signs at 3-4 months	Oral health evaluation; and professional hygiene; symptomatic therapy of the secondary effects—prophylaxis of caries 1–3 months—follow-up to 1–6 months