Dental Problems With Fosamax: What You Need To Know In 2023

Side effects during denosumab therapy. (A) Osteonecrosis of the jaw

Introduction

Fosamax is a medication used to treat osteoporosis, a condition that weakens bones and makes them more likely to fracture. While Fosamax has been effective in treating osteoporosis, it has been linked to some dental problems.

What are the Dental Problems Associated with Fosamax?

The most common dental problem associated with Fosamax is osteonecrosis of the jaw (ONJ). ONJ is a rare but serious condition that occurs when the jawbone is exposed and fails to heal after dental surgery or extraction. Symptoms of ONJ include pain, swelling, and infection in the jaw. Another dental problem associated with Fosamax is tooth decay. Fosamax can cause changes in the bone structure of the jaw, which can make it more difficult for the body to fight off infections that cause tooth decay.

How Does Fosamax Cause Dental Problems?

Fosamax belongs to a class of drugs called bisphosphonates, which work by slowing down the breakdown of bone tissue. While this is beneficial for treating osteoporosis, it can also interfere with the normal healing process in the jawbone, leading to ONJ. Additionally, Fosamax can affect the bone structure of the jaw, making it more susceptible to infections that cause tooth decay.

Who is at Risk for Dental Problems with Fosamax?

While anyone taking Fosamax can develop dental problems, those at highest risk are individuals who have been taking the medication for a long time or at a high dosage. Additionally, those who have dental procedures such as tooth extractions while taking Fosamax are at an increased risk for developing ONJ.

What Can You Do to Prevent Dental Problems with Fosamax?

If you are taking Fosamax, it is important to maintain good oral hygiene and seek regular dental care. This can help prevent tooth decay and other dental problems. If you need to have dental surgery or extractions while taking Fosamax, it is important to inform your dentist or oral surgeon about your medication. They may recommend stopping Fosamax temporarily before the procedure to reduce the risk of ONJ.

Conclusion

While Fosamax can be an effective treatment for osteoporosis, it is important to be aware of the potential dental problems associated with the medication. By maintaining good oral hygiene and seeking regular dental care, you can help prevent tooth decay and other dental problems. If you need to have dental surgery or extractions while taking Fosamax, it is important to inform your dentist or oral surgeon to reduce the risk of ONJ.