employee from 01.01.2015 until now
Stavropol State Medical University (kafedra hirurgicheskoy stomatologii i chelyustno-licevoy hirurgii, assistent)
employee from 01.01.2023 until now
Stavropol, Stavropol, Russian Federation
employee
City Clinical Emergency Hospital
employee
Stavropol, Stavropol, Russian Federation
employee
Russian Federation
employee
Russian Federation
UDK 61 Медицина. Охрана здоровья
GRNTI 76.29 Клиническая медицина
OKSO 31.02.06 Стоматология профилактическая
BBK 566 Стоматология
BISAC MED016000 Dentistry / General
Subject. The number of patients taking antiresorptive drugs (bisphosphonates and denosumab) is steadily increasing. The need of this group of patients for dental care continues to be high. In this regard, the prevalence of complications of antiresorptive therapy – drug osteonecrosis of the jaws – tends to increase. Therefore, the problem of awareness of doctors and patients on the assessment of the risk of drug osteonecrosis of the jaws and its prevention is of high relevance. The aim of the study is to develop a form of informed voluntary consent for types of dental interventions for patients receiving antiresorptive therapy. Methodology. The analysis of regulatory documents on the procedure for obtaining informed voluntary consent in the Russian Federation, as well as positional documents of the leading communities of maxillofacial surgeons on medicinal osteonecrosis of the jaws (USA, Italy, Japan, South Korea, Austria) was carried out. Results. On the basis of Appendix No. 2 of the Order of the Ministry of Health of the Russian Federation dated November 12, 2021 N 1051n, in accordance with Article 20 of Federal Law No. 323-FZ dated 11/21/2011, a form of informed voluntary consent for types of dental interventions for patients who have indicated a history of taking bisphosphonates and (or) denosumab has been developed. The form contains an explanation of the causal relationship between taking antiresorptive drugs and the onset of medicinal osteonecrosis of the jaws, a description of dental manipulations in terms of the risks of this complication, as well as ways to prevent the disease. Conclusions. The presented form of informed voluntary consent to the types of dental interventions for patients receiving antiresorptive therapy is submitted for discussion by the medical community. Openness and completeness of information, as well as cooperation and sharing of responsibility between the patient and the doctor will lead to positive changes in the problem of prevention of medicinal osteonecrosis of the jaws.
bisphosphonates, denosumab, informed voluntary consent, dental care, osteonecrosis of the jaws
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