Influencia de los protocolos preventivos durante la extracción dental en la aparición de osteonecrosis de la cavidad oral asociada a medicamentos: revisión sistemática paraguas

Introduction: Medication-related osteonecrosis of the oral cavity (MRONJ) is a severe complication in patients receiving antiresorptive therapy, with incidence ranging from 0,01-0,10% in osteoporosis and up to 6,70% in cancer patients. Objective: To identify through an umbrella systematic review (2019-2024) the influence of preventive protocols during dental extractions on the occurrence of MRONJ. Methodology: Systematic search in PubMed, EBSCO and Scopus following PRISMA guidelines. Systematic reviews on dental extraction in patients at risk for MRONJ were included. Quality assessed using JBI checklist. Results: Eight reviews were analyzed (23.209 patients, 264 studies) with low heterogeneity (I²=