If you are taking antiresorptive agents for the treatment of osteoporosis, you typically do not need to avoid or postpone dental treatment. The risk of developing osteonecrosis of the jaw is very low.
However, bisphosphonates accumulate at sites of high bone turnover, such as in the jaw. This may reduce bone turnover and bone blood supply and lead to death of the bone, termed osteonecrosis. The condition of particular concern for dentists is bisphosphonate–related osteonecrosis of the jaw.
As bisphosphonates have a mode of action that interferes with the bone resorption by osteoclasts, they can have side effects in dental treatment, including inhibited tooth movement, impaired bone healing, and induced osteonecrosis in the maxilla and the mandible.
If you are having a dental procedure while taking alendronate, you may have an increased chance of having a severe problem with your jaw. Make sure you tell your doctor about any new medical problems, especially with your teeth or jaws.
If you are taking antiresorptive agents for the treatment of osteoporosis, you typically do not need to avoid or postpone dental treatment. The risk of developing osteonecrosis of the jaw is very low.
Does Fosamax cause any teeth-related side effects? Yes, it's possible for Fosamax to cause teeth-related side effects. Although very rare, it's possible for this medication to cause jaw osteonecrosis. Osteonecrosis is a condition where your bone tissue doesn't get enough blood supply and eventually dies.
If you have osteoporosis, you may be at risk for tooth loss. When the jawbone becomes less dense tooth loss can occur. Women with osteoporosis tend to have fewer teeth than women with normal bone density.
Long-term bisphosphonate therapy has been linked to a rare type of thigh fracture. This injury, known as atypical femoral fracture, is similar to a stress fracture, causing pain that begins subtly and can gradually worsen. If not identified early on, a complete fracture of the thighbone can occur.
If you are taking Fosamax or other oral Bisphosphonates, you are still a candidate for dental implants as long as your dental surgeon performs an accurate evaluation of your present condition and is able to perform a minimally invasive implant treatment.
Because Bisphosphonate drugs last in the bone for a considerable amount of time even after stopping the medication, it is typically not recommended for the patient to stop taking their bisphosphonate medication prior to tooth extraction.
Medication-related osteonecrosis of the jaw often occurs after tooth extraction; therefore, the withdrawal of antiresorptive agents for 2–3 months before invasive dental procedures is recommended, despite the lack of evidence on its effectiveness.
Dental side effect of receiving Prolia
Prolia has a side effect in patients who have to have tooth extractions performed. The trauma of the extraction on the bone surrounding the tooth may lead to a condition where the bone dies off, and following the extraction fragments of dead bone are lost from the extraction site.
Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.
However, it carries a risk of serious side effects. People with weakened immune systems are advised not to use to denosumab because it can lead to serious infections that require hospitalization (such as heart infections). It can also cause disintegration of the jaw, called osteonecrosis, and atypical femur fractures.
Depending on the body part (whether it's the spine or the hip or another bone in the body), taking an osteoporosis medication will reduce the chances of fracture anywhere from 50 to 70 percent — a substantial reduction in risk, says Khosla. “The side effects are quite rare.
Romosozumab (Evenity).
This is the newest bone-building medication to treat osteoporosis. It is given as an injection every month at your doctor's office and is limited to one year of treatment.
In general, bisphosphonates like Boniva and Fosamax are well-tolerated. The most common side effects are mild, GI-related effects like acid reflux, nausea, and diarrhea or constipation.
Osteoporosis causes people to lose bone density in their jaws, which can lead to tooth loss. Periodontal disease is another concern. Go to an office of general dentistry at least two times a year to get regular checkups.
Your dentist may be the first person to notice signs of osteoporosis. Researchers have discovered that dental x-rays can show low bone mineral density, which is an indicator for osteoporosis. They may also notice symptoms of tooth loss or gum disease that indicate the early stages of osteoporosis.
The answer is the involvement of the jawbone and surrounding facial bones. If the jawbone volume has been compromised by advancing osteoporosis, the bone cannot accept the dental implant. Acceptance is critical because dental implants fuse with the patient's jawbone to provide stability.
1789 include: Fosamax is defective because it may cause ONJ. Merck did not adequately warn plaintiffs and their doctors that the drug could cause ONJ. Merck fraudulently concealed the risks of Fosamax with respect to ONJ.
Severe side effects include bloody stools, chest pain, difficulty swallowing, skin blisters, eye pain and swelling of the face, throat and tongue. The drug's medication insert warns it can lower blood calcium levels because the drug hinders the natural breakdown of bone.
So what happens if you're taking Fosamax™ or Prolia™ and you need dental work? The answer depends on what kind of procedure you're going to have. For routine work, like cleanings, fillings or crowns, no change in your medication is needed.