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Patients with Severe Osteoporosis should not Rush Their Teeth

The filial son-daughter joint venture allowed the father of his early years to receive artificial dental implants and exchange beautiful teeth as a birthday gift. Unexpectedly, the dentist learned that the old man was administering bisphosphonates due to severe osteoporosis. He was worried that the dental surgery might cause bone necrosis, so he declined the patient’s request.

“Patients with osteoporosis often have oral health problems.” Osteoporosis patients often have other chronic diseases, and the side effects of chronic disease drugs may affect oral health. If these patients have too many teeth and cannot eat normally, they can’t bite harder foods, they can only eat liquid foods, and their nutritional intake is insufficient. They will fall into a vicious circle of osteoporosis and health. For this reason, many osteoporosis patients Choose implants.

However, the doctor reminded that before the operation, the dentist must undergo a careful evaluation to confirm whether the patient has severe osteoporosis and whether he is taking bisphosphonates. Osteoporosis symptoms are mild, calcium supplementation, more exercise, do not need to take osteoporosis drugs to improve, receiving dental implants is not a major problem. Dental implants are not too problematic for patients who have just started taking osteoporosis drugs or who have been taking osteoporosis for only one or two years. However, patients who are receiving bisphosphonates are not suitable for dental implants.

This is because healthy bone cells are naturally metabolized, new cells are formed, and old and waste cells are absorbed. Due to abnormal bone cell metabolism in patients with osteoporosis, the purpose of administering bisphosphonates is to slow down the rate of bone cell metabolism. Once the patient’s bones are damaged, it is difficult to heal. Because the dental implant process will drill the gum bone, if the bone does not heal, it will be necrotic, causing the implant to fail. Patients with severe osteoporosis who are given bisphosphonates can easily cause bone necrosis if they undergo tooth extraction or any bone-related surgery. Therefore, it is not recommended to undergo any dental surgery.

The main effect of bisphosphonates is to inhibit the speed of bone turnover and reduce bone loss. In other words, the drugs will weaken the bone repair function. For patients who are receiving bisphosphonates for osteoporosis, any treatment of injured bones cannot be repaired normally, and necrosis will occur, which is clinically called “bisphosphonate osteonecrosis.” In this case, the implant cannot be combined with the bone, and the osseointegration fails, which is the so-called “failure before osseointegration.”

Treatment of missing teeth should be done as early as possible. If you find that you are suffering from bone loss, don’t panic. Those who have been assessed by the doctor to undergo dental surgery still have the opportunity to enjoy artificial dental implants and get a good tooth. However, if you have taken oral osteoporosis drugs for more than five years, or have been treated with bisphosphonates, you should evaluate carefully before implanting your teeth, and you must choose a regular hospital.

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