Osteoporosis and Use of Bisphosphonates
Osteoporosis and Bisphosphonate Therapy - Actonil, Boniva, and Fosamax are a class of drugs known as Bisphosphonates. These drugs affect the bone by altering the action of bone cells called osteoclasts. These cells are responsible for the remodeling of bone and are important for bone health. The results of altering the action of these cells can result in changes in the jaw bone healing, especially if treatment of an oral infection and or extraction of a tooth is needed. Although rare, there is an increased risk of osteonecrosis with these medications and the dental team must be made aware of their use so that extra precautions can be made to reduce the risks. If you are obtaining a new prescription for these medications, it is advisable to have all dental work completed before beginning them, including major work such as crowns or bridges, and extraction of any questionable teeth. Orthodontic is also not recommended for patients on these drugs.
