Effects of bisphosphonates for osteoporosis on oral health

Osteoporosis is a condition that affects the bones, causing them to become fragile, weak and prone to fracture (NHS Choices, 2012a).

Medical histories must record if patients have this condition, as a link has been made between the bisphosphonate drugs commonly used to treat this condition and osteonecrosis of the jaw (ONJ) (National Osteoporosis Society, 2013). Although rare, this is a significant side effect as it can cause delayed healing in dental procedures where the mandibular or maxillary bone is involved, such as extractions, periodontal surgery or implant surgery.

Osteoporosis is a progressive condition that affects the bones as you age. The bones of the wrist, hip and spine are the most susceptible (Age UK, 2013a).