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Doctor insights on: Fosamax Jaw Necrosis

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Can Fosamax (alendronate) cause a TMJ bone disorder?

Can Fosamax (alendronate) cause a TMJ bone disorder?

Doubtful: I know of fosamx causing other issues in the head and neck area but never heard it causing specific pathology's of the tmj. If there is TMJ discomfort and Fosamax (alendronate) is involved, it could be a domino effect and the drug didn't actually cause tmj, but TMJ symptoms came about from another pathology. ...Read more

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Necrosis (Definition)

Necrosis is the the death of cells and tissue. In dentistry, root canals are often needed when the pulp tissue inside a ...Read more


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How does taking Fosamax (alendronate) affect the jaw bone?

How does taking Fosamax (alendronate) affect the jaw bone?

Rarely does.: If Fosamax (alendronate) is taken for more than 5 years a very small percentage of patients may develop necrosis of a portion of the jaw. Good dental hygiene may reduce the chance of developing this problem. ...Read more

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Can jaw bone grow after bone grafting?

Can jaw bone grow after bone grafting?

Regeneration?: Bone grafting mostly produce a regeneration effect, which meant eestablish a loss bone height (hard to achieve in horizontal defect) or bone width (easily achieved). Your jaw bone growth can only achieved with bmps (bone morphogenetic proteins) and patient should be at young age. ...Read more

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Could Fosamax (alendronate) break your femur?

Unlikely: Hi. Alendronate and other antiresorptive osteoporosis drugs have been associated with a very low but real risk of atypical femur fracture (subtrochanteric fracture in the shaft made of cortical bone). The risk is very low, and a cause and effect relationship is not absolutely established. But yes, the risk appears to be there. Remember all the fractures bisphosphonates PREVENT also, however! ...Read more

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Dental implant related to jaw bone loss?

Dental implant related to jaw bone loss?

Not Usually: Dental implants actually prevent bone loss as long as they are placed correctly, restored correctly and you have no other underlying medical issues. That being said, if the implant is not restored correctly and there is too much lateral force placed on it, you can actually get bone loss. ...Read more

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Why avascular necrosis in sickle cell disease involve long bone only?

Why avascular necrosis in sickle cell disease involve long bone only?

The ends of : The long bones have the most tenuous blood supply, and thus are at the greatest risk. ...Read more

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How are Fosamax (alendronate) and femur fractures related?

How are Fosamax (alendronate) and femur fractures related?

2 answers: In patients who are truly at high risk for a hip fracture, Fosamax (alendronate) will decrease the risk of a fracture by 50%. However, in about 1 person in 1000-5000 there will be an increased risk because the medication is too strong. The current recommendation by many experts is to not use this type of medication for prevention unless you are high risk for a fracture. ...Read more

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Cortisol causes bone resorption, would it resorb my cheekbone implants made from rib cartilage?

Cortisol causes bone resorption, would it resorb my cheekbone implants made from rib cartilage?

Rib: You should see the doctor who did the cheekbone implants and see if there is any change. A baseline bone density study would be in order but you would only need worry about your bones if the density T-score is more than -2.5. ...Read more

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Can Fosamax (alendronate) cause stress fractures?

Can Fosamax (alendronate) cause stress fractures?

Yes: Low-energy femoral shaft and subtrochanteric fractures have been reported in postmarketing experience. ...Read more

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Cause of exostosis on tmj...10 year on fosamax (alendronate)?

Cause of exostosis on tmj...10 year on fosamax (alendronate)?

TMJ Exostosis: I'm not aware of any literature that suggests that bisphosphonates such as Fosamax (alendronate) can lead to exostoses of the tmj. Usually we see TMJ exostoses as a result of trauma or arthritis. You don't describe any symptoms. Have you had an MRI or a ct? Usually these are diagnostic. An exostosis that is asymptomatic requires no treatment. You should see an oral and maxillofacial surgeon in consultation. ...Read more

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What is bone resorption and bone formation defect if osteoporosis?

What is bone resorption and bone formation defect if osteoporosis?

One process is: Greater. In osteoporosis, bone resorption is more prevalent then bone formation. As a result, a negative bone balance occurs and bone loss will occur and over time osteopenia or osteoporosis will occur. Medications such as Fosamax and Boniva (ibandronate) slow down bone resorption. ...Read more

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What is neuralgia-inducing cavitational osteonecrosis (nico)?

What is neuralgia-inducing cavitational osteonecrosis (nico)?

Cavity and neuralgia: Neuralgia-inducing cavitational osteonecrosis , refers to presence of cavitations in jaw bones (mandible and/or maxilla) in conjunction with chronic facial neuralgia. The concept implies direct and causal relationship between the bone pathology (cavitations) and pain itself. Pain in this setting is commonly described as atypical facial neuralgia and is chronic in nature. ...Read more

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Does Fosamax (alendronate) contribute to calcification of heart arteries?

Does Fosamax (alendronate) contribute to calcification of heart arteries?

Fosamax (alendronate) & hearts: Fosamax does not contribute to calcium deposits in the coronary arteries. Fosamax works only on bone metabolism to inhibit the breakdown of bone when exercise, vitamin d and calcium intake are inadquate. ...Read more

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Could bone be replaced by oral bisphosphonates ?

Could bone be replaced by oral bisphosphonates ?

Yes and no: These drugs do not build bone but they slow down the body's loss so it can catch up. Some of the pits will refill but only where there has been loss. ...Read more

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What's the difference between wisdom teeth extraction vs bone grafting pain?

What's the difference between wisdom teeth extraction vs bone grafting pain?

Depends: Every situation is different. Some wisdom teeth are bony impacted, some are infection or abcessed. It also depends on the type and size of the bone graft being compared to. It is difficult to provide a comparison. ...Read more

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Can clenching cause jaw surgery relapse?

Can clenching cause jaw surgery relapse?

Jaw surgery?: What type of jaw surgery? If TMJ, yes. orthognathic? Possible You need a thorough discussion with your oral surgeon to address this issue. ...Read more

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Dr. James Kayvanfar
215 doctors shared insights

Alendronate (Definition)

Alendronate is a phosphate containing agent which is a kind of ...Read more


Dr. James Kayvanfar
105 doctors shared insights

Fosamax (Definition)

Fosamax is a phosphate containing agent which is a kind of ...Read more