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Osteoporosis

Checking for Gum Diseases Before Taking Fosamax?

02/26/2008

Question:

A body scan reveals that I have a case of osteopenia. My doctor wants to perscribe vitamin D for it but before I take any he wants my dentist to check and see if i have any gum problems. Why is that, and can`t I treat this without worrying about a dentist? My dentist has retired and I`m in the very slow process of finding another.

Answer:

The main reason doctors ask their osteoporosis patients to see a dentist before starting a medication these days is to be sure they do not need dental surgery prior to starting medications like Fosamax.  There have been rare cases of people whose jaw did not heal well after surgery when they were on bisphosphonates.  There is no reason for you to see a dentist prior to starting vitamin D alone.

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Response by:

Margery   Gass, MD Margery Gass, MD
Formely, Professor, Clinical Obstetrics & Gynecology
College of Medicine
University of Cincinnati