Medication-related osteonecrosis of the jaw in dental practice and oral surgery.

Medication-related osteonecrosis of the jaw represents a serious challenge in daily dental and surgical practice. The increasing number of patients taking medications that affect bone metabolism represents an increasingly frequent event in the clinical practice of the dentist.

Performing dental procedures on such patients requires specific knowledge of drug metabolism. The demands of patients are increasing and pose new challenges to the dentist.

This presentation aims to provide dental practitioners with information on the behavior of patients on antiresorptive medication therapy and patients at risk of developing drug-related osteonecrosis of the jaw. The clinical cases presented are tailored to outpatient practice and do not include severe problems requiring hospital treatment. Existing recommendations for prophylaxis and behavior in patients on antiresorptive therapy will be critically discussed.

 

Asoc. prof. Evgenii Aleksiev

Work experience:

• Since 2020, he has been an associate professor at the Department of Dental, Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University-Sofia;

• Since 2020, he has been an associate professor at the Clinic of Maxillofacial Surgery of the University Hospital "Aleksandrovska"

• Since May 2019, he has been a chief assistant at the Department of Dental, Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University-Sofia;

• Since 2016, he has been an assistant physician at the Clinic of Maxillofacial Surgery at the University Hospital "Aleksandrovska"

• From March 2014 to May 2019, he has been an assistant at the Department of Dental, Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University-Sofia;

• 2014 – 2016, he has been a physician at the University Hospital "St. Anna" - Sofia, ENT and Clinic of Maxillofacial Surgery;

• From 01.07.2005 to 10.03.2014, he has been a resident physician at the Specialized Hospital of Maxillofacial Surgery.

 

Education and training

• 2016 specialty: Maxillofacial Surgery 

• 2011 – 2016 specialization: Maxillofacial Surgery, Medical University – Sofia 

• 2013 higher education - Master's degree in "Health Management", Faculty of Health, Medical University – Sofia 

• 2010 higher education - Master's degree in "Medicine", Faculty of Medicine, Medical University – Sofia

• 2004 specialty: Oral Surgery 

• 1999 – 2003 specialization in Oral Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Medical University - Sofia 

• 1999 higher education – Master's degree in "Dentistry", Faculty of Medicine, Medical University - Sofia

 

Scientific degree: "Doctor" (2018)

 

Academic titles and positions 

• From 2020 – to the present “Associate Professor” 

• From May 2019 – to 2020 – “Chief Assistant” 

• From March 2014 – May 2019 - “Assistant”

 

Scientific activity and scientific works: 

• Author of monography: "Medical Related osteonecrosis of the jaws"; 

• Author and co-author of over 50 publications in the scientific press; 

• Co-author of 2 monographs: 

• Participation in over 30 scientific forums 

• Citations in Bulgaria and abroad - over 50.

 

Membership

• Since 2014, he has been a member of the National Expert Specialized Medical Board for Maxillofacial Surgery at the Bulgarian Medical Academy 

• Active member of the European Association for Cranio-Maxillofacial Surgery; 

• Active member of the International Association of Oral and Maxillofacial Surgeons; 

• Active member of the International Team for Implantology;

• Active member of the Bulgarian Medical Association; 

• Active member of the Bulgarian Dental Association; 

• Active member of the Bulgarian Association of Oral Implantology; 

• Active member of the Association of Oral and Maxillofacial Surgeons in Bulgaria.