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.