Table 3.

Treatment Recommendations for Patients With Osteoporosis Receiving Bisphosphonate Therapy

Patients informed of risks

Oral hygiene and dental care emphasized

Not necessary to require dental examination prior to bisphosphonate therapy or alter dental management

For patients on bisphosphonates >3 years: Periodontal disease treatment non-surgically or conservative surgical therapy Dental-implant placement with informed consent Endodontic treatment preferable to extraction or periapical surgery For invasive procedures, a drug vacation may be helpful but has not been validated

Adapted with permission from the American Society for Bone and Mineral Research.³⁸