Dental osteoporosis is a disease in which bones become fragile and are more likely to fracture.
Usually the bone loses density, which measures the amount of calcium and minerals in the bone.
The chief concern in dentistry concerning bone dentistry are the maxilla and mandible.
Before dental implants can be placed, bone density testing helps to evaluate the degree of mineral content in jaw bones.
The height and contours are also evaluated so the correct size of a dental implant can be selected.
It makes sense a very narrow jaw bone where bone has atrophied will require a smaller implant than would jaw bone with wide contours.
Patients on such drugs as Fosamax require special considerations before dental treatment is advised.
The extraction of teeth require careful and continuos follow-up for the safety and well being of the patient.
Problematic extractions are a major concern for patients on drugs because of osteoporosis.
Some dental offices in KC request a patient come off drugs like Fosamax for a 6 month period before the extraction of teeth is performed.
These type drugs are capable of suppressing the immune system.
In many instances the pain problem will not wait the entire time.
Dentist are careful because the bone is very slow to heal on drugs for osteoporosis.
After removal of the tooth, bone and surrounding areas remain infected and require time to treat the infection of the bone.
At times areas of the infected bone must also be removed where necessary to promote healing.
As often as possible we refer patients with these problems to oral surgeons or hospital dental clinics.
One symptom noted is high levels of halitosis coming from areas deep around the tooth at the bone level.
This symptom along with patient testimonies. “pus is coming from around my tooth,” are warning signs to proceed with caution.
After the removal of the tooth prescription strength mouthwashes, such as chlorhexidine found in Peridex are used.
Chlorhexidine reduces inflammation and also prescribed for gingival and periodontal concerns.
Patients have a responsibility to keep the surgical site clear of food particles to assist in the healing process.
Healing at times is very slow.
If possible it is recommended before the extraction or placement of dental implants, an evaluation is performed of the patient’s nutrition.
Detoxification from sugar is a major concern for healing as sugar removes calcium ions from the bone.
Blood chemistry analysis will show existing calcium levels.
If calcium is at a deficit ask your dentist for calcium supplementation that is readily absorbed by the body.
The treatment of dental osteoporosis helps the overall body as well, helping the patient to improve bone density.
From the Diary of my enlightenment,
A.L. Clark, D.D.S. http://dentist4you.biz
Reference: (nof.org) National Osteoporosis Foundation