Are drugs for bones a threat to jaws?

Many of our patients have asked us questions regarding the link between bone-building drugs and a rare side effect that causes parts of the jawbone to deteriorate and die, so we wanted to address your concerns. Bone-building medications such as Fosamax, Actonel and Boniva, also called bisphosphonates, build bone by interfering with the normal turnover of bone cells. There is speculation that osteonecrosis occurs when the drugs are so effective they will actually suppress bone regeneration. This primarily happens in cancer patients on intravenous bisphosphates. For healthy people taking the drugs to increase bone density jaw death is very rare.

• Before starting bisphosphonates, have a comprehensive dental exam and treat any tooth or gum problems.

• While on bisphosphonates, make sure to brush and floss daily, and get regular dental care. If you need an invasive dental procedure, discuss the risks with your doctor. Seek the most conservative possible treatment. Avoid elective procedures that would require bone to heal.

• If dental surgery is necessary, consider taking antibiotics and use daily oral rinses, Doctors Alyson and Doug are always ready to discuss any concerns you may have.