homepage services Top Dentist testimonials Dental Fear Dental Techniques In the news

Article: Fosamax scare over jaw damage overblown DR. JERRY GORDON
Osteonecrosis of the jaw is a serious condition. Patients will typically feel jaw pain, swelling, teeth movement or loosening, draining of infected gum tissue, numbness and/or exposed bone.

Recent news reports about the danger of Fosamax stem from problems some patients have had with a class of drugs called bisphosphonates. A few years ago, reports surfaced of patients suffering from severe damage of the jaw (osteonecrosis) after a dental extraction. These patients were taking intravenous bisphosphonates Zometa (zolendronic acid) and Aredia (pamidronate). Oral bisphosphonates like Fosamax (alendronate), Actonel (risedronate) and Boniva (ibandronate) for the treatment of osteoporosis show a less clear link for the potential to cause osteonecrosis after dental surgery, and the risk for this complication appears to be very low.

Osteonecrosis of the jaw is a serious condition. Patients will typically feel jaw pain, swelling, teeth movement or loosening, draining of infected gum tissue, numbness and/or exposed bone. Osteonecrosis can occur several months after a dental extraction, and patients with symptoms of osteonecrosis should contact their dentist as soon as possible to evaluate the condition.

An expert panel assembled by the American Dental Association's Council on Scientific Affairs recommendations "a focus on conservative surgical procedures, proper sterile technique, appropriate use of oral disinfectants and the principals of effective antibiotic therapy". This means that dentists need to be extra careful with their surgical technique when treating patients on bisphosphonates. Patients who are about to take oral bisphosphonates or who have recently begun taking them should get a comprehensive dental exam.

Patients who take or have taken intravenous bisphosphonates for conditions such as hypercalcemia, skeletal complications in patients with multiple myeloma, breast, lung and other cancers and Paget's disease of bone should inform their dentist prior to any dental treatment. Patients who are about to take intravenous bisphosphonates should get a complete dental exam. All dental infections, including cavities and gum disease, should be treated. Patients with dentures need to be evaluated to see if they require adjustments to prevent the occurrence of sore spots. Patients should be encouraged to perform excellent oral hygiene, dental cleanings should be as gentle to the gums as possible, and root canal should be performed instead of having a tooth extracted. If dental surgery is required for a patient while taking intravenous bisphosphonates, the dentist should consult with the patient's physician prior to treatment.

Source: Osteonecrosis of the Jaw http://www.ada.org/prof/resources/topics/osteonecrosis.php

Search all articles  

Please use copy and paste the following code to link to this article:

Digg Del.icio.us reddit facebook Stumbleupon

 
 
Monday:  
9am to 8pm
Tuesday:  
9am to 9pm
Wednesday:  
10am to 9pm
Thursday:  
9am to 9pm
Friday:  
Closed
Saturday:  
9am to 1pm
 
 

Have a suggestion?

Dr. Gordon is the dental columnist for the Bucks County Courier Times. He has published more than 300 articles since 1998. He is a recognized dental expert for Dr. Oz.

New dental providers may harm the poor and uninsured
Healthcare in America has changed. Even before the passage of the affordable care act (ACA)... more

Doctors play key role in curbing prescription drug abuse
Medical doctors, dentists and other licensed practitioners commonly use prescription... more

Ten tips for beating dental fears
Does the sound of the dentist’s drill make you cringe? Does the sight of the needle make you scared and nervous? more

Read more on Dr. Gordon's Blog.

Parliamo italiano, Мы говорим по-русски

Search all articles:


Dr. Jerry Gordon’s academic
credentials, affiliations, and
community involvement.
Watch Dr. Gordon and his patients talk about dental fear, and how they overcame it.
Hear what area doctors are saying about Dr. Gordon and The Dental Comfort Zone.

Watch Dr. Gordon perform a root
canal, crown, dentures, and air abrasion.
Join our Mail
©2014 All Rights Reserved | The Dental Comfort Zone | 215-639-0571 | 2734 Street Rd, Bensalem, PA 19020 | Sitemap