Spencer Z. Forman, DMD, Jamesburg, NJ
Bis-Phosphonate Therapy

If you are having oral Bis-Phosphonate Therapy (Fosamax, Boniva, Actonel, didronel or Skelid) you should be educated in the potential risk of osteonecrosis of the jaw. Osteonecrosis is the destruction of the bone. Other problems can be caused by secondary infections that result from this bone destruction.

The necrosis can occur spontaneously in 2-5% of these patients without any local trauma or procedure. The
risk of problem is much greater when we perform any type of dental surgery of the upper or lower jaw.

Due to the potential risks for patients undergoing this type of therapy,any patient who needs to undergo
any type of surgery should follow these recommendations:

  1. Consult with your physician to consider discontinuing the Bis-Phosphonate treatments.
  2. Rinse your mouth 2 times a day with a .12% Chlorhexidine rinse such as Peridex.
  3. Take pre-operative antibiotic treatments with PenVK, Cleocin or Zithromycin for 2-4 weeks. The
    dosage and medication depending on consultation with your physician.
  4. Have a yearly Panoramic x-ray of the jaw to track the presence or the progression of Ostonecrosis.

To date thousands of patents have been affected by this medication. We should be as conservative as
possible in regard to any planed jaw surgery.



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© Copyright 2006- Dental WebSmith, Inc. and Spencer Z. Forman, DMD. All rights reserved worldwide. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.


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