Osteonecrosis of the jaw is a possible oral complication resulting from antiresorptive therapies, such as bisphosphonates (Bfs). Although its etiology is not entirely clear, it has been shown to be dependent on several factors, being that the traumatic stimulation due to placement of teeth implants is indicated as one of the predisposing factors to this pathology. The indications and preventive methods for performing these procedures are questioned, making it essential to know proper protocols. Thus, the present study aims to discuss the risks of developing osteonecrosis in patients submitted to dental implant surgery who use Bfs, as well as to discuss the related local and systemic factors and prevention possibilities for this side effect. The study also aims to present a clinical case of an osteopenic patient, who used bisphosphonates and had rehabilitation through implants according to specific protocols, resulting in a successful treatment.

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