If your doctor has prescribed you bisphosphonates, especially if they must be injected intravenously, it is important to tell your dentist because, in this case, it is contra-indicated to proceed with any surgical treatment in the mouth, including extractions and dental implants.
Bisphosphonates are drugs that prevent the loss of bone mass in certain medical conditions. Doctors prescribe it in tablets for women in menopause or pre-menopause. Bisphosphonate tablets are also indicated for people with Paget’s disease (misshaped bones).
These drugs can also be injected intravenously during therapy of bone metastases of breast cancer. In this case, some patients may develop in their mouths a condition called osteonecrosis. This condition is described by bone death following a blood circulation problem.
The link between osteonecrosis and bisphosphonates is not yet well understood. It is important then to inform your dentist if you take these drugs especially if intravenously. Your dentist can then check for any signs of osteonecrosis in the mouth and treat if needed. Furthermore, it’s strongly believed that keeping a good oral hygiene can reduce the risk of getting osteonecrosis of the jaw.