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As we grow older, our bones begin to lose their density and strength, especially after we reach our 50's. Many factors affect bone density, including diet, physical activity, family history, hormones, lifestyle and certain conditions and medications.
Osteoporosis affects about 10 million Americans, 8 million of whom are women. This disease affects more women than cancer, heart disease and stroke combined. Another 34 million Americans have osteopenia, or low bone density and are at risk of developing osteoporosis.
According to Dr. Ryne Johnson of Newton Prosthodontics, “anti-resorptive agents” (medications used to treat bone loss) are being utilized in a greater amount each year as the baby boomers hit their retirement age. The implications on dentistry are immense.
In patients taking these medications, some dental procedures (tooth removal, implant placement or gum surgery) may increase the risk of osteonecrosis. Osteonecrosis is defined as death of bone tissue that may result from infection, as in osteomyelitis, or deprivation of blood supply. In all cases, blood circulation in the affected area ceases, bone cells die, and the marrow cavity becomes filled with debris. Surrounding bone resorbs and replaces necrotic bone over a period of months or years. With widespread damage, orthopedic treatment may be required, such as replacement of the dead bone.
According to a recent article published in the Journal of the American Dental Association, patients on anti-resorptive agents should consult their physician prior to receiving major dental surgery or tooth removal. Guidelines have been suggested regarding treatment recommendations for specific dental conditions. According to Dr. Ryne Johnson, conclusions from this evaluation suggest that the best approach is good preventative maintenance, to avoid the need for extractions and advanced gum therapy.
Additional information is located at NewtonProsthodontics.com, in the educational resource area. This topic is one of many that can be found amongst the many blogs posted by Dr. Johnson on the website.
Dr. Johnson is accepting new patients, reminds everyone to see their dentist several times each year for routine dental cleanings and dental exams, and to, “See a Specialist…The Difference Will Make You Smile”.
Original article – JADA, November 2011, vol. 142
"We are collaborative dental practice with a focus on attention to detail, outstanding customer service, synergistic treatment planning, state-of-the-art therapy and a true passion for excellence."
Dr. Ryne Johnson, Prosthodontist & Director
Dr. Ryne Johnson, Prosthodontist & Director