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Oral Surgery/Dental Implants and Osteoporsis meds

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Question
I have had conflicting views of when to do implants.  My internist says do all your jaw work done before taking a
alendronate.  My Periodontist say it can be done while taking the meds.  Only 7% chance of having problems.  My regular dentist seems to agree with my MD.  I'm very confused.  Can you give me your opinion?

Thank you,
Judy

Answer
It depends on which osteoporosis medication you are taking.  Some are worse then others with regards to the risk of osteonecrosis. In general, the oral bisphosphonates have a very low risk profile of complications. To whatever extent you can do your dental work before taking the medications, that is certainly good advice.  However, because patients normally have ongoing dental needs, it is not realistic to say that you will never do any oral surgery after taking those medications.  Luckily the risk is very low.  

Oral Surgery

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Jeff Bressman, DDS, Diplomate ABOMS

Expertise

I am a board certified oral and maxillofacial surgeon with over 24 years of experience. The majority of my practice involves dental implants, removal of wisdom teeth, treatment of areas of oral pathology. Please note that this site is designed for general information and I can not give you medical advice specific for you.

Experience

I have over 24 years of private practice experience

Organizations
American Association of Oral and Maxillofacial Surgery, Fellow American Board of Oral and Maxillofacial Surgery, Diplomate National Dental Board of Anesthesia, Fellow American Dental Society for Anesthesia

Education/Credentials
BS, University of Illinois with honors DDS, University of Illinois, with high honors Board Certified, American Board of Oral and Maxillofacial Surgery

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