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We agree with Dr. Dello Russo that the bone necrosis could have been initiated by the electrosurgical procedure (as stated in the case study). However, even if the necrosis was a direct result of electrosurgery, the periodontal wound healing response generally proceeds uneventfully, although slightly more protracted than that with a surgical blade.

In this case report, wound healing complications proceeded for months without resolution. The continued sloughing of bone spicules from the surgical site in this case also is not consistent with electrosurgery wound healing. Clinical observations, coupled with the histopathology report, led us to conclude a likely pharmacologic impact of oral bisphosphonates on alveolar bone. We appreciate and recognize Dr. Dello Russo’s comments.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Nase, J. B. Articles by Suzuki, J. B. Search for Related Content PubMed Articles by Nase, J. B. Articles by Suzuki, J. B.