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Braces

Osteoporosis and braces

04/30/2008

Question:

I am 60 years old and have been diagnosed with osteoporosis. I took Fosamax for approximately 2 to 3 years, but after learning about the osteonecrosis side effect, four years ago, I stopped the Fosamax.

I now take calcium and vitamin D supplements and I have had no fractures. Because of tooth pain from very crowded teeth which seem to be getting worse, I am considering braces.

Would the fact that I do have osteoporosis be a contraindication for braces? I am aware that some bone loss is typical when teeth are moved and I do not want to trade one problem for another.

Answer:

You should see an orthodontist who has experience in treating patients with osteoporosis. See the American Association of Orthodontics web site for a list of practitioners in your area.

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Response by:

Mark G Hans, DDS, MSD Mark G Hans, DDS, MSD
Professor of Orthodontics
School of Dental Medicine
Case Western Reserve University