Risk of dental implants and Fosomax

Bisphosphonate Risks

There has been a lot of news coverage about bone-bolstering medications known as bisphosphonates. Such drugs go by the brand names Fosamax, Actonel, Boniva, Zometa and Aredia. Some are taken by pill, and others are injectable. They're designed to help people at risk for osteoporosis, a bone-thinning disease associated with aging, or to combat bone loss from the effects of cancer. More than 10 million American women take Fosamax alone.

But some reports claim that bisphosphonates, which remain in the bones for a long time, actually cause bone problems in some users by destroying bone in the jaw. The jawbone destruction is called osteonecrosis. The problem is usually encounterd afer invasive dental procedures such as extractions. Although not completely understood bisphosphonate drug may shut down the production of cells called osteoclasts, making it difficult for the bone to respond and recover if an infection sets in.

To date, the incidence of drug-induced jawbone disease remains rare. Researchers report fewer than 400 cases of the disease and the vast majority of these cases -- 94 percent -- are associated with the injectable form of the medicines taken by cancer patients.

Anyone who is using bisphosphonates or is considering using them would be wise to maintain their oral heath in an optimum state. We recommend having complete examinations done to ensure the health of your gums and teeth, and caution should be taken if invasive procedures such as extractions or surgery are planed.

To help prevent osteoporosis:
* Stop smoking.
* Reduce the use of alcohol.
* Exercise regularly.
* Eat a balanced diet with calcium.
* Ask your doctor if you need to take a calcium or vitamin D dietary supplement