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Oral health care considerations for patients with osteoporosis:

  • No contraindications for dental care, including dental implants.
  • Osteoporosis may be associated with a higher incidence of tooth loss.
  • Some studies have reported a correlation between osteoporotic bone loss and decreased cortical alveolar bone quality.
  • Antiresorptive agent-induced osteonecrosis of the jaw (ARONJ), also know as bisphosphonate-related osteonecrosis of the jaws (BRONJ) , although extremely rare in patients with osteoporosis who take oral bisphosphonates, has been reported. Classifications and treatment strategies for provision of dental care have been proposed for patients with ARONJ.
  • If the patient is taking glucocorticosteroids for a chronic condition, be aware of possible adrenal suppression and bone pathology.
  • A possible association between osteoporosis and the development of arteriosclerosis has been reported.
  • Encourage patients to take vitamin D and calcium supplements, stop smoking, limit the use of alcohol, and start weight-bearing exercises.