A member asked:

I've always taken great care of my teeth.i have spontaneous onj.i was passed back and forth from md to dentist.no insurance = no help.whats left 2 do?

3 doctors weighed in across 2 answers
Dr. Ragan Faler answered

Specializes in Dentistry

Smoker?: Spontaneous onj in the lower jaw is common in smokers. Your md will be no help. Your dentist should refer you to an oral surgeon or periodontist who will treat it. Usually the sequestrum is removed, the site curettaged of dead bone, and then the site is closed or covered. It takes a while to heal but they heal up nicely.

Answered 2/16/2014

4.5k views

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Dr. Paul Grin answered

Specializes in Pain Management

Bisphosphonates: Drug-induced osteonecrosis of the jaw usually caused by biophosphonates. The common presentation is in the form of a poor healing extraction socket, exposed bone, gingival swelling and pain. Currently, there are no effective treatments for onj. Please be advised that surgical debridement can make the condition worse. Rec.:visit a free clinic for investigation and conservative treatment.

Answered 2/16/2014

4.5k views

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