Skeleton Season

It’s that time of year again, when the neighborhood lawns are filled with witches, tombstones, and skeletons all in the fun of celebrating Halloween! I swear each year the decorations become more ornate and involved, with every house trying to win the “best decorated” award. Seeing all the skeletons out had me thinking about bones!

There are certain patients who develop osteoporosis during their lifetime. Osteoporosis is a bone disease that occurs when bone mineral density and bone mass decrease over time. This can lead to decreased bone strength which can ultimately lead to fractures. Bone is a living tissue that is constantly being deconstructed and rebuilt. Osteoporosis occurs when the remaking of new bone can’t keep up with the bone loss. Many patients who suffer from osteoporosis are placed on a type of medication called a bisphosphonate. These medications come in two forms: an oral route (ex. Fosamax, Boniva, etc.) and an IV route (ex. Reclast, Zometa, etc.). These medications help slow down bone resorption and strengthen the bone.

So why am I talking about this, and how does it relate to dentistry?

While bisphosphonates are an effective medication for treating osteoporosis (and some other diseases), they can also increase a patient’s risk of developing a rare dental condition called osteonecrosis of the jaw. Osteonecroris of the jaw is a rare condition where part of the jaw bone loses its blood supply, causing it to “necrose,” or die. This dead segment of bone usually has to be surgically removed and can lead to long term pain and dysfunction for the patient. While the risk of osteonecrosis is low, even in patients being treated with bisphosphonates, the risk is higher after certain dental procedures, such as pulling a tooth.

This is why our medical intake questionnaires at Spring Lake Dental Group include a specific question asking if you are currently taking or have ever taken a bisphosphonate medication. Answering “yes” doesn’t mean we can’t treat you, but it is important information to discuss with your dentist so that we can decide on your best options for dental treatment together!

HAPPY HALLOWEEN!