Management of osteoporosis patients for prosthetic restoration.
10.14368/jdras.2016.32.2.93
- Author:
Ji Yeon BAEK
1
;
Han Sol JEON
;
Jin Han LEE
Author Information
1. Department of Prosthodontics, School of Dentistry, Wonkwang University, Iksan, Republic of Korea. dentist@empas.com
- Publication Type:Review
- Keywords:
osteoporosis;
bisphosphonates;
osteonecrosis;
mouth preparation
- MeSH:
Administration, Oral;
Aged;
Chronic Disease;
Dental Clinics;
Dentists;
Diphosphonates;
Humans;
Jaw;
Life Expectancy;
Mouth;
Osteonecrosis;
Osteoporosis*
- From:Journal of Dental Rehabilitation and Applied Science
2016;32(2):93-101
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The average life expectancy has been increased, so the proportion of elderly patients that visit to the dental clinic for prosthetic restoration has increased. Elderly patients have various chronic diseases. Recent trends show an increase of osteoporosis in elderly patients, and thus, the number of osteoporosis patients is expected to escalate. Currently, the most widely used drug for osteoporosis is bisphosphonate. However, osteonecrosis of the jaw has been reported as a side effect derived from long-term oral administration or injection treatment of the drug. Surgical dental treatment was the main cause of medication related osteonecrosis of the jaw (MRONJ). As MRONJ is very difficult to cure, it is important to take preventive measures. Surgical operation may be needed for the mouth preparation before prosthetic restoration. For successful treatment, the dentist should have a full understanding of osteoporosis and show a continued interest toward this disease for careful management.
