Bisphosphonate drugs are used commonly in the orthopedic and oncology fields. One of the severe side effects is necrosis of the jaw, a difficult condition to treat. The author of this article recommends that general practitioners:
- refer to an Oral Surgeon
- chlorhexidine 0.12% rinses
- appropriate pain control
- treatment with antibiotics (Pen VK) due to the presence of Actinomyces (Clindamycin if allergic)
- minimize any attempt to remove bony spicules
- no attempt to manipulate soft tissue to cover the exposed bone
Source: Zosky J, Bisphosphonates or Other Drug-Induced Osteonecrosis of the Jaw, Oral Health, Vol 103, No 5, May 2013 pg 63-67.
Hans Skariah, B.Sc., DMD
Promenade Court Dental Health Group in Mississauga
2233 Hurontario St., Mississauga, ON, Canada
(1/2 km north of the QEW in the Dome Building)
(905) 273-7100