Osteoporosis and Oral Health

Our bodies keep our bones strong by absorbing old bone cells and replacing them with newer and stronger bone material. Osteoporosis is a condition that occurs when we absorb more bone than we replace, resulting in weakened bones. Osteoporosis can affect any part of the body, including the jawbone, and can lead to dental issues like loosening teeth

Osteoporosis medications, like denosumab or bisphosphonates, attempt to bring the reabsorption rate into balance, and can greatly improve bone density and health.

In rare cases and for reasons unknown, these medications can have adverse effects specifically on the jawbone, so it’s important to get a dental exam before starting treatment, especially if you have any existing oral health issues.

Common medications include:

  • Alendronate (Fosamax, Binosto)
  • Ibandronate (Boniva)
  • Risendronate (Actonel, Atelvia)
  • Zolendronic acid (Reclast, Zometa)

In most cases, people taking medication for osteoporosis can proceed with dental procedures like implants and extractions after careful examination and evaluation of the jawbone. The presence of osteoporosis might influence the type of implants used, and the amount of healing time needed after the procedure.

One possible side effect of bisphosphonates is something called medication-related osteonecrosis of the jaw (ONJ or MRONJ), which happens when isolated areas of the jawbone lose their vitality and die.

You might have an increased risk to develop MRONJ if you:

  • Have been on medication for osteoporosis for over two years
  • Have periodontitis or dentures
  • Have been receiving high doses of anti-reabsorption agents (usually for cancer or for preventive osteoporosis treatments)

Over 90% of people who suffer from MRONJ receive high doses of the medication intravenously, in most cases to treat cancer. Rarely does this problem occur in people who take the medication orally.

If you are a candidate for a tooth extraction or implant placement, it’s important to speak with your dentist and healthcare professional about the use of osteoporosis medication.

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What Our Clients Say About Us

  • "Dr. Katz is attentive to his patients' needs, always careful to ensure the patient's comfort...It's a friendly office with impeccable service. They will take good care of you!
    Over the years, Dr. Katz and his team have provided me with an extremely high level of care and personal sensitivity. He has earned my trust."
    Jim Velleco - Marblehead, MA
  • "I have had a lot of dental work done during my life--orthodontia, fillings, crowns, implants, root canals, a bridge--and Dr. Katz is by far the best dentist I've ever seen. In addition to being a superior craftsman with a lot of experience, Dr. Katz is attentive to his patients' needs, always careful to ensure the patient's comfort. His staff, several of whom have been working with him for decades, is likewise excellent. It's a friendly office with impeccable service. They will take good care of you!"
    Sandra Doherty
  • "Awesome Doctor and team - have been going to Dr. Katz's practice for over 20 years and the professionalism, care and attention are superb. They are warm, welcoming, caring and a pleasure to go to. Highly recommend them - with a warm smile!!!
    The professionalism, care and attention are superb. They are warm, welcoming, caring and a pleasure to go to."
    Paul Romano
  • "I travel from Woburn to Salem for my dental needs because there is no other dentist that I trust more than Dr. Katz. I am impressed with his professionalism and drive to stay on top of the best dental techniques. He and his team treat my wife and me like family. I highly recommend Dr. Katz!
    There is no other dentist that I trust more than Dr. Katz. I am impressed with his professionalism and drive to stay on top of the best dental techniques. He and his team treat my wife and me like family."
    Rob Dealy
  • "It’s not “Cheers” and they don’t serve beer, but it is a place “where everybody knows your name.” They know your family, too. And you know theirs. After 25 years here, for me it’s not just about having clean teeth. It’s about catching up with old friends, sharing what’s going on and caring about each other."
    Eugenia Fountain - Salem, ma
  • "They are thorough, careful and up to date on new techniques. One never feels like a "number" because there is very little staff turnover...We recommend them without hesitation.
    If you're looking for top-notch customer service, a welcoming staff, and valuable take-home knowledge, make an appointment with Dr. Katz. My mouth and I have had nothing but positive experiences in his care."
    Mike Briddon - Swampscott, MA
  • "Dr. Katz makes me feel like I'm the most important patient he has. He is calm, relaxed, informative, patient and gentle...I have heard nothing but positive feedback from the people I've sent
    Thank you for over 20 years of compassionate and technically excellent dental care."
    Christine Kowal - Swampscott, MA
  • "We come from Wakefield to see Dr. Katz. He has been our family dentist for the last 10 years and my husbands dentist since he was a kid. Today my very anxious 7 year old had to have a tooth pulled and Dr. Katz did a wonderful job at making him comfortable. My son got through the experience with flying colors and no tantrums. We would highly recommend him as a dentist!"
    Nicole Jennings
  • "My husband and I are long term patients of this practice because of the trust it has earned with us over time. They are thorough, careful and up to date on new techniques. One never feels like a "number" because there is very little staff turnover .....clearly a plus. We recommend them without hesitation!"
    Michelle Genereux

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Hours of Operation

Hours below do not reflect our 'temporary' modified schedule. Please call the office for details.

Monday:

8:00 am-5:00 pm

Tuesday:

12:00 pm-8:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

7:00 am-4:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed