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Stage 0
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systemic management, including use of pain medications and antibiotics improvement of oral hygiene (rinsing and cleaning of fistulas and periodontal pockets)
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Stage 1
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antibacterial mouth rinse clinical follow-up on a quarterly basis improvement of oral hygiene (rinsing and cleaning of fistulas and periodontal pockets) patient education and review of indications for continued bisphosphonate therapy
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Stage 2
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combination or monotherapy of symptomatic treatment with oral antibiotics and/or oral antibacterial mouth rinse pain control debridement to relieve soft tissue irritation and infection control
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Stage 3
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antibacterial mouth rinse antibiotic therapy and pain control surgical debridement or resection for longer-term palliation of infection and pain extraction of tooth in exposed bone/necrotic bone as source of infection maintenance of nutrition with supplements and infusions
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