L. Diagnostics-différentiels-possibles-sont, Les tumeurs osseuses primaires Les métastases osseuses L'ostéoradionécrose La gingivite ulcéro-nécrotique L'ostéomyélite L'alvéolite Le traumatisme prothétique 3.1.9 Classification, p.37

. En-cas-d-'ostéonécrose-péri-implantaire, le traitement doit s'effectuer en milieu hospitalier et s'inspire de la prise en charge classique de l'ostéonécrose. Le but est de diminuer la douleur, l'infection des tissus mous, et de réduire la progression de la nécrose osseuse : Éducation du patient à l

D. Traitement-antibiotique, semaines voire plus longtemps si nécessaire. On préconise l'amoxicilline, la phénoxyméthylpénicilline, l'amoxicilline associée à l'acide clavulanique et la clindamycine (avec ou sans métronidazole) Un prélèvement local peut être effectuer afin d'identifier les germes responsables et de valider le choix de l'antibiothérapie

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