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Bisphosphonates and Osteonecrosis |
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Written by Vu Le, DDS
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 Many people are taking bisphosphonates (Actonel, Fossamax, Boniva) to treat osteoporosis, cancer and other conditions. While safe in the vast majority of cases, in rare instances you can get a painful condition known as osteonecrosis in your jaws. Basically, an area of bone tissue of the jaw starts dissolving itself. Here's the symptoms you should watch out for, and what you should do at the dentist if you take bisphosphonates.
- pain, swelling, or infection of the gums or jaw
- gums that are not healing
- loose teeth
- numbness or a feeling of heaviness in the jaw
- drainage
- exposed bone
Most dentistry is safe with these drugs, but extractions and surgeries do carry a higher risk. Let's reiterate that this is very rare, and still not well understood by scientists.
This is one more reason why it's crucially important to update your prescription medications (and any other drugs or supplements you take regularly) with your dentist at every checkup. You should inform your medical doctor if you are considering dental extractions or any other dental surgery such as crown lengthening, implant placement, or root canal retreatment. And let all your doctors and dentists know if you experience any of the above symptoms. Your health is a team effort, so let's keep everyone informed.
For more information go to: http://www.ada.org/public/topics/osteonecrosis.asp
Source: American Dental Association, ada.org
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