Bisphosphonate-related osteonecrosis of the jaw (BRONJ)is most likely to occur after which of the following dental procedures?

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There are several means to help minimize or prevent BRONJ.The dental hygienist should ask the patient if he or she is taking or receiving a bisphosphonate drug.Dental surgical procedures should be performed using minimal bone manipulation and supported with local and systemic antibiotic prophylaxis.Those with osteonecrosis of the jaw should have dead bone removed as necessary with minimal trauma to adjacent tissue.Most of the cases of osteonecrosis of the jaw occurred after tooth extractions and other dental procedures that traumatize the jaw.

Bisphosphonate-Related Osteonecrosis of the Jaw (BRONJ)is Most Likely to Occur