Essential Health Tips for Patients with Brittle Bones

29 Nov

If you're taking Alendronic acid (often prescribed for osteoporosis), it's vital to be extra mindful of your oral health due to a rare but serious risk: Medication-Related Osteonecrosis of the Jaw (MRONJ).

Alendronic acid belongs to a class of drugs called bisphosphonates, which work by slowing down the natural bone removal process. In rare cases, this can interfere with the jawbone's ability to heal, particularly after trauma like a tooth extraction. MRONJ is defined as exposed bone in the jaw that fails to heal for more than eight weeks, causing pain, swelling, or infection.

Key Considerations and Risk Reduction

While the overall risk of MRONJ for patients on oral alendronic acid for osteoporosis is very low (estimated to be between 1 in 1,000 to 1 in 10,000), proactive oral care is your best defense.

Excellent Oral Hygiene is Essential: The single most effective preventative measure is preventing dental disease in the first place. Brush twice daily with a fluoride toothpaste and floss or use interdental brushes daily. Gum disease and dental infections increase the risk of MRONJ.
Routine Dental Check-ups: See your dentist regularly for check-ups and professional cleans. Inform them immediately that you are taking alendronic acid.
Timing of Treatment: Ideally, any necessary invasive dental procedures, such as extractions or complex gum surgery, should be completed before starting alendronic acid.
Invasive Procedures: If you require a tooth extraction or oral surgery while on the medication, discuss the procedure with both your dentist and prescribing doctor. Your dentist may opt for a less traumatic extraction technique or consult with a specialist.
Look Out for Symptoms: Immediately contact your dentist if you notice any pain, swelling, exposed bone, numbness, or poor healing in your jaw, especially following a dental procedure.

The benefits of alendronic acid in preventing fragility fractures typically far outweigh the low risk of MRONJ. Never stop taking your medication without consulting your prescribing physician, but empower yourself by prioritising superb dental care. A healthy mouth is a safer mouth.