Osteoporosis and Oral Health
Wylie, Texas
The article explains that osteoporosis occurs “when we absorb more bone than we replace, resulting in weakened bones.” This condition can impact the jawbone and cause dental complications including loose teeth.
Medications
Medications like denosumab and bisphosphonates help balance bone reabsorption rates. Common medications listed include:
- Alendronate (Fosamax, Binosto)
- Ibandronate (Boniva)
- Risendronate (Actonel, Atelvia)
- Zolendronic acid (Reclast, Zometa)
In rare instances, these medications may adversely affect the jawbone. The article notes that “a dental exam before starting treatment” is recommended, particularly for those with existing oral health concerns.
Potential Side Effect: MRONJ
A potential side effect is medication-related osteonecrosis of the jaw (ONJ/MRONJ), where jawbone tissue loses vitality.
Risk Factors
- Taking medication for over two years
- Having periodontitis or dentures
- Receiving high-dose treatments
The article states that “over 90% of people who suffer from MRONJ receive high doses of the medication intravenously,” typically for cancer treatment. Oral forms of the medication rarely cause this complication.
Recommendation
The recommendation emphasizes consulting both dentist and healthcare provider before undergoing tooth extraction or implant procedures.
