Osteoporosis and Oral Health

Our bodies keep our bones strong by absorbing old bone cells and replacing them with newer and stronger bone material. Osteoporosis is a condition that occurs when we absorb more bone than we replace, resulting in weakened bones. Osteoporosis can affect any part of the body, including the jawbone, and can lead to dental issues like loosening teeth

Osteoporosis medications, like denosumab or bisphosphonates, attempt to bring the reabsorption rate into balance, and can greatly improve bone density and health.

In rare cases and for reasons unknown, these medications can have adverse effects specifically on the jawbone, so it’s important to get a dental exam before starting treatment, especially if you have any existing oral health issues.

Common medications include:

  • Alendronate (Fosamax, Binosto)
  • Ibandronate (Boniva)
  • Risendronate (Actonel, Atelvia)
  • Zolendronic acid (Reclast, Zometa)

In most cases, people taking medication for osteoporosis can proceed with dental procedures like implants and extractions after careful examination and evaluation of the jawbone. The presence of osteoporosis might influence the type of implants used, and the amount of healing time needed after the procedure.

One possible side effect of bisphosphonates is something called medication-related osteonecrosis of the jaw (ONJ or MRONJ), which happens when isolated areas of the jawbone lose their vitality and die.

You might have an increased risk to develop MRONJ if you:

  • Have been on medication for osteoporosis for over two years
  • Have periodontitis or dentures
  • Have been receiving high doses of anti-reabsorption agents (usually for cancer or for preventive osteoporosis treatments)

Over 90% of people who suffer from MRONJ receive high doses of the medication intravenously, in most cases to treat cancer. Rarely does this problem occur in people who take the medication orally.

If you are a candidate for a tooth extraction or implant placement, it’s important to speak with your dentist and healthcare professional about the use of osteoporosis medication.

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Monday:

7:30 am-4:00 pm

Tuesday:

7:30 am-4:00 pm

Wednesday:

7:30 am-4:00 pm

Thursday:

7:30 am-4:00 pm

Friday:

7:30 am-4:00 pm

Saturday:

7:30 am-2:00 pm

Sunday:

Closed

Our Happy Clients

Here’s what our happy clients are saying:

  • "Dr. Garrett and his staff are great. He carefully explains everything to you in detail. I never met someone that genuinely cares about their patients. He and his sister’s make your visit to the dentist as painless as possible. I always hated going to the dentist as a child. However I would recommend going to visit Dr. Garrett and his staff."
    Edmund
  • "Seriously the BEST dentist I have ever been to. A very friendly and knowledgeable staff and relaxing atmosphere."
    Galen
  • "The front desk staff is AMAZING. I always get a reminder call 2 days before my appointment. How wonderful is this? All the staff at Uehara Family Cosmestic Dentistry are friendly, helpful, and just always smiling."
    Annie
  • "I’m honored to be able to be the first one to review this place! After months and months of searching, I was finally able to find the best dentist ever! I go to Dr. Jill, but all of the dentists here are wonderful, as I have been worked on them at one time or another because of days of availability or emergencies, or what have you. First things first, my favorite hygenist (I believe her name is Tess) is the best dental hygenist I have ever had! She is sweet, low-key, and always does a phenomenal job!"
    Anonymous