ORPHA:399293
Osteonecrosis of the jaw
Publications
10,752
Trials
20
Interventional, condition-specific
Researchers
1,216
Distinct authors in sample
Gene link
—
Readiness
2/6
Stages with a signal
Clinical definition (Orphanet)
A rare osteonecrosis characterized by an exposed necrotic lesion in the mandible or maxilla present for more than eight weeks, arising as a complication of antiresorptive medication, dental interventions, or trauma and infections. Patients may present with pain, altered neurosensory functions, secondary infections, and (in advanced stages) pathological fractures, or fistulae.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0018378
- UMLS:C2711248
- NCIT:C63924
Additional Mondo synonyms (3)
ONJ · jaw osteonecrosis · osteonecrosis of jaw
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
2/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
10,752 matched papers (7,096 in last 10 years) Source
- Phenotype characterisedNot found
No HPO disease–phenotype associations via Monarch for these Mondo IDs
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPresent
20 matched on ClinicalTrials.gov (7 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
None returned for this Mondo ID. That often means “not linked under this ID,” not “no clinical features.”
Animal models (Monarch / Alliance)
None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
No drugs or clinical candidates returned for this Mondo ID on Open Targets.
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
10,752
10,752 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
10,752 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
7,096 in the last 10 years · low confidence
Phrase hits: 10,752 · MeSH hits: 0
Who's working on it?
1,216
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Li S5 papers · 2026
Department of Oral and maxillofacial surgery, Tianjin Medical University School and Hospital of Stomatology & Tianjin Key Laboratory of Oral Soft and Hard Tissues Restoration and Regeneration, No.12 Qixiangtai Road, Heping District, Tianjin, 300070, PR China.
Papers in Europe PMC - 02Chaushu G4 papers · 2026
Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Campus Beilinson, Petah Tiqwa, Israel.
Papers in Europe PMC - 03Fusco V4 papers · 2026
Oncology Unit, Department of Medicine and Translational Medicine Unit, DAIRI - Department of Integration, Research and Innovation, "SS Antonio e Biagio e C. Arrigo" Hospital, Alessandria, Italy.
Papers in Europe PMC - 04Ghanaiem O4 papers · 2026
Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Campus Beilinson, Petah Tiqwa, Israel.
Papers in Europe PMC - 05Kim JY4 papers · 2026
Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Republic of Korea. JYOMFS@yuhs.ac.
Papers in Europe PMC - 06Masri D4 papers · 2026
Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Campus Beilinson, Petah Tiqwa, Israel.
Papers in Europe PMC - 07Kim JW3 papers · 2026
Graduate School of Medicine, Ewha Womans University, Seoul, Republic of Korea. jinu600@gmail.com.
Papers in Europe PMC - 08Kim RH3 papers · 2026
The Shapiro Family Laboratory of Viral Oncology and Aging Research, Los Angeles, California, USA.
Papers in Europe PMC - 09Park JH3 papers · 2026
Department of Oral and Maxillofacial Surgery, School of Medicine, Ewha Womans University, Seoul, Republic of Korea.
Papers in Europe PMC - 10Xue Y3 papers · 2026
State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, School of Stomatology, National Clinical Research Center for Oral Diseases, The Fourth Military Medical University, Xi'an, Shaanxi, China. xueyangfmmu@163.com.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
20
interventional trials for this specific condition
20 interventional trials matched this specific condition name; 7 currently recruiting in our sample.
Data as of 11 September 2026
20 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 94.8th percentile).
low confidence · 94.8th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
20 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT06622421·NOT YET RECRUITING·Piezoeletric Surgery vs Conventional Surgery for Treatment of MRONJ
Not reviewed·Conditions: Bisphosphonate-Associated Osteonecrosis of the Jaw · Osteonecrosis of the Jaw · Osteonecrosis Due to Drug·Matched via name phrase
- NCT07435259·NOT YET RECRUITING·Comparing Implant Retention Versus Removal for MRONJ at Implant Sites
Not reviewed·Conditions: Medication Related Osteonecrosis of the Jaw·Matched via name phrase
- NCT06984107·NOT YET RECRUITING·MRONJ and Polynucleotides-Hyaluronic Acid Hydrogel (Regenfast®)
Not reviewed·Conditions: Medication Related Osteonecrosis of the Jaw·Matched via name phrase
- NCT06419010·NOT YET RECRUITING·Leukocyte- and Platelet-Rich Fibrin in the Surgical Treatment of Medication-related Osteonecrosis of the Jaw
Not reviewed·Conditions: Osteonecrosis of the Jaw·Matched via name phrase
- NCT07585123·NOT YET RECRUITING·L-PRF in Prevention of ORN and MRONJ Following Tooth Extractions;v3.0
Not reviewed·Conditions: Osteoradionecrosis of the Jaw · Medicine Related Osteonecrosis of the Jaw·Matched via name phrase
- NCT07673848·NOT YET RECRUITING·Autologous Platelet Concentrates on the Healing of Extraction Sockets
Not reviewed·Conditions: Medication-related Osteonecrosis of the Jaw·Matched via name phrase
- NCT05795647·RECRUITING·The PENTO Protocol in Medication-related Osteonecrosis of the Jaw
Not reviewed·Conditions: Medication-related Osteonecrosis of the Jaw (MRONJ)·Matched via name phrase
Observational and natural-history studies
18 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT07691892·NOT YET RECRUITING·Early Warning and Risk Prediction of Medication-Related Osteonecrosis of the Jaw
Not reviewed·Conditions: Medication-related Osteonecrosis of the Jaw (MRONJ)·Matched via name phrase
- NCT05329558·ENROLLING BY INVITATION·Local and Systemic Changes in Osteonecrosis of the Jawbone
Not reviewed·Conditions: Osteonecrosis of the Jaw·Matched via name phrase
- NCT07588269·NOT YET RECRUITING·Bone Quality Evolution in Medication-Related Osteonecrosis of the Jaw Assessed by CBCT (B-ONJ EVOL)
Not reviewed·Conditions: Medication-related Osteonecrosis of the Jaw · Osteonecrosis of the Jaw·Matched via name phrase
- NCT06430762·RECRUITING·Therapeutic Exposures and Risk Factors in MRONJ
Not reviewed·Conditions: Medication-Related Osteonecrosis of Jaw·Matched via name phrase
- NCT06457776·RECRUITING·Medication Related Osteonecrosis of the Jaws (MRONJ) in a Cohort of Patients Treated by Antiresorptive Drugs
Not reviewed·Conditions: Osteonecrosis of the Jaw · Osteonecrosis Due to Drugs, Jaw · Osteonecrosis Due to Drug · Bisphosphonate-Associated Osteonecrosis·Matched via name phrase
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 16 · after dedupe 16 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 16 · dropped 0 · fetched 2026-07-30
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (16)
- ctis·2024-518688-36-00·Authorised, ongoing·The PENTO protocol in Medication-Related Osteonecrosis of the Jaw (MRONJ): a single-center phase IIa trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12818293·Recruiting·Evaluation of the effect of choline-stabilized orthosilicic acid in patients with gingivitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13455959·Recruiting·Evaluation of the effect of choline-stabilized orthosilicic acid (CS-OSA) on osseointegration and the prevention of peri-implantitis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN77394655·No longer recruiting·Study to determine the preventive effect of denosumab on breast cancer in women carrying a BRCA1 germline mutation
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN14348802·No longer recruiting·Evaluation of the effect of choline-stabilized orthosilicic acid (ch-OSA®) on inflammation of the gum and bone around dental implants
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN74484952·No longer recruiting·A clinic feasibility study to assess whether the use of two combined medicines (pentoxifylline and tocopherol) can prevent radiotherapy-related changes of the mouth and face compared to the current standard of care in the head and neck cancer population
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN52105758·No longer recruiting·Salivary electro-stimulation for the treatment of dry mouth in patients with Sjogren's syndrome
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN15749696·No longer recruiting·Does zoledronic acid alter levels of reproductive hormones and how does this affect the tumour and bone in pre- and post-menopausal women with early breast cancer?
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN96920058·No longer recruiting·DISKO: Effect of denosumab on pain and bone marrow lesions in knee osteoarthritis
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12308164·No longer recruiting·Alendronate in ankylosing spondylitis trial
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN92192408·No longer recruiting·Euro Ewing 2012
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN86625608·No longer recruiting·Oral bisphosphonate, alendronate, for the treatment of acute Charcot neuroarthropathy in diabetic patients
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN11616770·No longer recruiting·Zoledronate in the Prevention of Paget's: the ZiPP study
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17633610·No longer recruiting·TEAM II: a randomised, multicentre, prospective, phase III trial investigating neoadjuvant hormonal therapy with exemestane for three versus six months (TEAM IIa) and/or the efficacy and safety of the addition of ibandronate to adjuvant hormonal therapy in post-menopausal women with hormone receptor positive early breast cancer (TEAM IIb)
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN83586728·Stopped·Cost-effective use of BISphosphonates in metastatic bone disease - a comparison of bone MARKer directed zoledronic acid therapy to a standard schedule
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN79831382·No longer recruiting·Does Adjuvant Zoledronic acid redUce REcurrence in patients with high risk localised breast cancer?
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Osteonecrosis of the jaw — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Osteonecrosis of the jaw" OR "Osteonecrosis of jaw" OR "jaw osteonecrosis"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Osteonecrosis of the jaw" OR "Osteonecrosis of jaw" OR "jaw osteonecrosis"
Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 20 interventional · 18 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: ONJ
Confidence reasoning
- Preferred label is multi-word and distinctive
- 1 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
- Publication count (10752) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-27T15:23:29.741Z
