8 doctors weighed in:
Is it safe to have oral surgery if i've been taking actonel (risedronate) for around 10 years?
8 doctors weighed in

2 doctors agree
In brief: Yes
Actonel (risedronate) should not bother oral surgery.

In brief: Yes
Actonel (risedronate) should not bother oral surgery.
Dr. Crystal Twynham
Dr. Crystal Twynham
Thank
3 comments
Dr. Daniel Sampson
I would respectfully disagree. Actonel is in the class of bisphosphonate drugs and as such puts one at risk for developing osteonecrosis of the jaw after oral surgery. You should talk with the oral surgeon about these risks.
Dr. SCOTT HARWOOD
Agree with Dr Sampson.......see my comment below this post
Dr. Jason Cataldo
Dentistry - Periodontics
In brief: For the most part
As someone who has been consulted on two cases of osteonecrosis and legal issues related to lawsuits against novartis, i also respectfully disagree with dr. Twynham. Long term use of bisphosphonates can predispose you to osteonecrosis.
It's unlikely, but you must be informed of the risks. They are low: 1 in 100, 000 but they do happen. Better safe than sorry!

In brief: For the most part
As someone who has been consulted on two cases of osteonecrosis and legal issues related to lawsuits against novartis, i also respectfully disagree with dr. Twynham. Long term use of bisphosphonates can predispose you to osteonecrosis.
It's unlikely, but you must be informed of the risks. They are low: 1 in 100, 000 but they do happen. Better safe than sorry!
Dr. Jason Cataldo
Dr. Jason Cataldo
Thank
Dr. Brian Dorfman
Surgery - Oral & Maxillofacial
In brief: Not Necessarily
Long term treatment has been linked to bisphosphonate related osteonecosis of the jaws (bronj).
With long term treatment as you mentioned you need to have a special blood test performed prior to oral surgery called a serum ctx. Although not entirely accurate, it gives a good idea wheter or not your bone has the capability of healing. A low number indicates potential serious problems.

In brief: Not Necessarily
Long term treatment has been linked to bisphosphonate related osteonecosis of the jaws (bronj).
With long term treatment as you mentioned you need to have a special blood test performed prior to oral surgery called a serum ctx. Although not entirely accurate, it gives a good idea wheter or not your bone has the capability of healing. A low number indicates potential serious problems.
Dr. Brian Dorfman
Dr. Brian Dorfman
Thank
Dr. SCOTT HARWOOD
Surgery - Oral & Maxillofacial
In brief: Potential problems
Actonel (risedronate) belongs to a group of medications called bisphosphonates.
Patients who are on a bisphosponate drug could face potential problems with bone healing after oral surgery procedures such as an extraction (osteonecrosis).

In brief: Potential problems
Actonel (risedronate) belongs to a group of medications called bisphosphonates.
Patients who are on a bisphosponate drug could face potential problems with bone healing after oral surgery procedures such as an extraction (osteonecrosis).
Dr. SCOTT HARWOOD
Dr. SCOTT HARWOOD
Thank
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