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Face and Jaw Surgery

How safe is Fosomax and/or Boniva?

11/21/2006

Question:

I have researched these drugs for the treatment of osteoporis. I have read that these drugs can cause jaw bone damage. This sounds very serious to me. I have been diagnosed with osteoporosis and do not want to start such medication with these side effects. What should I do and what medicine is safe?

Answer:

We are still working on trying to figure out the long term effect of bisphophonates on the jaws.  Many people are currently researching this problem and answers are starting to come to the surface.  We know that the intravenous form of the drugs is directly inked to necrosis of the jaw.  However, the effects of the oral form are not well known at this point, but the risks appear to be significantly lower.

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Response by:

Guillermo  E Chacon, DDS Guillermo E Chacon, DDS
Formerly:
Associate Professor of Dentistry
College of Dentistry
The Ohio State University