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A recent report indicated that 7 out of the 63 women who were evaluated for for osteonecrosis of the jaw had been using only oral versions of bisphosphonates.(As opposed to the previously held theory that only those receiving IV bisphosphonates were at risk). Also, according to a Reuters report dated, 9-03-09, a trial in New York is the first of some 1,280 plantiff groups involving almost 900 cases over the U.S. claiming Fosamax caused ONJ. Osteoporosis is a bad condition. However, I think that it is important for persons who might just be receiving a recommendation from their MDs to start up with a bisphosphonate to understand both the risks and benefits. Some women are facing using the drugs for life.

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Comment by Mary Jane RDH BS on December 11, 2009 at 8:30am
Communication needs to be open between the PCP and the dentist. Even though IV bisphosphonates pose the most risks, for the health of the patient, the covering dentist to be aware of the length of time the patient has been on the medication. Obviously, oral surgery holds the most risks.
Comment by Carol Tekavec on September 17, 2009 at 12:01pm
I wrote an informed consent form for bisphosphonates and dental treatment that is part of a booklet of 31 forms my Stepping Stones to Success company sells. As you say, dentists need to be aware to prevent potential lawsuits.
Comment by Thornhill Dentist on September 17, 2009 at 12:16am
Osteonecrosis is a very real issue and dentists must be fully aware of this to prevent any potential lawsuits.
Richmond Hill Dentist

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