1. Patients with osteoporosis may experience oral changes, such as:
Increased tooth loss
Additional denture adjustment as jaw shape changes
Osteonecrosis
IV bisphosphonates are associated with osteonecrosis of the alveolar bone
Prevalence is rare, at approximately 0.1%
Can occur at the site of a tooth extraction or spontaneously
American Dental Association recommends regular dental care for patients on bisphosphonates
Discontinuing bisphosphonates may not lower the risk, but may negatively impact low bone mass treatment
Symptoms of Osteonecrosis
Jaw pain
Swelling and infection
Loosening teeth
Drainage and exposed bone
References
Hellstein JW, Adler RA, Edwards B, et al. Managing the Care of Patients Receiving Antiresorptive Therapy for Prevention and Treatment of Osteoporosis: Executive Summary of Recommendations from the American Dental Association Council on Scientific Affairs. JADA. 2011; 142:
Edward, B.J., et al. Osteoporosis and its implications for dental patients. Journal of the American Dental Association 2008; 139(5):