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A matched cohort of 45 patients (15 maxillary, 30 mandibular) was created based on age (\u00b1\u20092 years), gender, and underlying condition (osteoporosis vs. malignancy). Demographic, clinical, and radiographic data using cone-beam computed tomography (CBCT) or multidetector computed tomography (MDCT), were extracted and analyzed. Radiographic features evaluated included osteolysis, sclerosis, periosteal bone formation, and sequestration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Demographic and clinical variables were similar between the groups. Radiographically, osteolysis was significantly more common in maxillary MRONJ (93.3% vs. 63%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.0319), while the mandible showed higher frequencies of periosteal reaction (50% vs. 6.6%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.0042) and sequestration (80% vs. 33.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0021). Sclerosis was more common in mandibular cases (90% vs. 73.3%) but did not reach statistical significance (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.1458). No significant differences were observed in MRONJ staging or comorbidities (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u20090.05 respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Maxillary and mandibular MRONJ demonstrate distinct radiographic patterns, likely reflecting anatomical and vascular differences. The predominance of osteolysis in the maxilla, which often presents with less specific symptoms, may contribute to delayed diagnosis. Recognizing these jaw-specific imaging features can improve diagnostic accuracy and promote earlier intervention, particularly for maxillary MRONJ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical relevance<\/jats:title>\n                    <jats:p>By uniquely applying a matched case\u2013control design, this study uncovers a jaw-specific radiographic signatures of MRONJ\u2014highlighting the overlooked dominance of osteolysis in the maxilla and the aggressive periosteal and sequestration changes in the mandible\u2014offering a powerful diagnostic lens for earlier, site-specific intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00784-026-06837-4","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T02:51:38Z","timestamp":1774579898000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Uncovering jaw-specific radiographic differences in medication related osteonecrosis of the jaws (MRONJ): a case-control study"],"prefix":"10.1007","volume":"30","author":[{"given":"Daya","family":"Masri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavriel","family":"Chaushu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eli","family":"Rosenfeld","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Muchnik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaked","family":"Adut","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gal","family":"Avishai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Ghanaiem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"6837_CR1","doi-asserted-by":"publisher","first-page":"279","DOI":"10.11005\/jbm.2021.28.4.279","volume":"28","author":"JW Kim","year":"2021","unstructured":"Kim JW, Kwak MK, Han JJ, Lee ST, Kim HY, Kim SH et al (2021) Medication related osteonecrosis of the jaw: 2021 position statement of the Korean Society for Bone and Mineral Research and the Korean Association of Oral and Maxillofacial Surgeons. 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