Intravenous Bisphosphonates for Osteoporosis and Implant Placement.

Academic Article

Abstract

  • Focused Clinical Question In a patient receiving intravenous infusion of nitrogen containing bisphosphonates for management of osteoporosis, is surgical implant treatment contraindicated because of the risk of impaired bony wound healing and osteonecrosis of the jaw? Clinical Scenario A 64-year-old postmenopausal woman who leads a busy life and works full time as a business executive presents with a fracture of her maxillary central incisors teeth #8 and #9. She has been a periodontal maintenance patient for the past 20 years with excellent oral hygiene. One month earlier, she experienced trauma to her anterior teeth by walking into a closed patio door. She appears younger than her stated age, and her overall health is good except for a history of postmenopausal osteoporosis diagnosed using a bone mineral density evaluation with a T-score at lumbar spine of -2.6. Currently, her only medication is a yearly intravenous infusion of zoledronic acid, which she has received for the past 3 years. The reason for this visit is to inform her that the teeth have a hopeless prognosis based on the progressive symptoms and will need to be extracted, and to discuss treatment options, risks, benefits, and alternatives.
  • Authors

    Published In

    Keywords

  • Dental implants, diphosphonates, osteonecrosis, osteoporosis
  • Digital Object Identifier (doi)

    Author List

  • Reddy MS; Geisinger ML; Liu P-R; Holmes CM; Vassilopoulos PJ; Geurs NC
  • Start Page

  • 42
  • End Page

  • 47
  • Volume

  • 2
  • Issue

  • 1