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Osteonecrosis of Bones in Mouth

February 25, 2019 By Todays Dentist 3 Comments

Osteonecrosis of Bones in the Mouth

Osteonecrosis of bones in mouth may be caused by drugs taken for osteoporosis

osteonecrosisiOsteonecrosis is a fancy word for infection or necrosis of the bones. This, on a very rare occasion, happens in the bones of the mouth.  When it does occur, it usually is the result of a patient taking intravenous medications such as bisphosphonates for the treatment of osteoporosis, and sometimes cancer.  Also, testosterone may be caused by lengthy and strong  oral doses of drugs used for the treatment of osteoporosis.  Such drugs are Actonel, Boniva, and Fosomax, etc.  Although these drugs are used for the treatment of osteoporosis for the whole body, one side effect could be osteonecrosis in the bones of the mouth which  becomes a totally different problem.  Although quite rare, osteonecrosis of the jaw usually develops after IV use or lengthy (3-5 years) use of oral bisphosphonates.

Although rare, when it does occur, it is usually associated with a lengthy dose of strong oral medication followed by extraction of a tooth or teeth, bone surgery, or by placement of an implant. There are only a few documented cases of osteonecrosis not associated with some type of traumatic dental procedure, such as removal of an impacted wisdom tooth.

It must be known that tens of thousands of extractions and placement of implants on patients taking heavy doses of bisphosphonates and they have had no unsavory consequences.  However, it is important to know that they “can” occur, although very rarely.  It would be prudent to eliminate that drug for several months prior to treatment if possible.

Always contact your physician before any dental surgery involving bone should you be on heavy doses of bisphosphonates.

Today’s Dentist

Life Member of American Dental Society, Emeritus Fellow of Academy of General Dentistry, American Association of Implant Dentistry

 

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Expansive General Dentistry practice of forty plus years and want to give back to the public the knowledge of the dental profession which has been so good to me.

Comments

  1. Hawaii dentists says

    September 29, 2018 at 6:05 AM

    Gathering enough knowledge and visiting a dentist is the only way to overcome such conditions. Though such dental problems are specific to certain type of diseases and its medications, one must inquire about all the pros and cons in advance. It’s better to take your physician’s advice before going through any major dental surgery to avert any unwanted conditions.

    Reply
    • Todays Dentist says

      January 10, 2019 at 6:32 PM

      If the osteonecrosis was present in any of the bones of the mouth, I would recommend an oral surgeon before a physician.

      Reply

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    February 6, 2015 at 7:34 AM

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