Many oral surgical procedures such as tooth

Patients on Osteoporosis drugs of mature bone depends on the formation of new bone and reconstruction. Normal bone contains many different types of cells and proteins. It is the right balance of these cells, allowing the bones heal. Osteoclasts

is the cell responsible for bone remodeling. If the bone does not remodel properly, new bone will form. Osteoporosis is a disease with lower bone mineral density caused by a defect in bone metabolism. The focus is primarily involved in this disease

osteoclasts. Other diseases involving bone metabolism such as osteopenia, Pagets disease and some cancers affect osteoclast bone defects. If new bone is allowed to form properly because of the influence of drugs bisphosphonates, any bone injury not heal. Many oral surgical procedures such as tooth extraction will depend on the actions of these drugs. If the bone can heal properly due to the effects of these drugs, surgical sites can not get adequate blood supply and bone is exposed. This condition is known as

bisphosphonates osteonecrosis of the jaw INDUCED (BONJ). BONJ is a condition that is difficult to treat and can lead to a large area of ​​open bone infections, intractable pain and potential damage. Any patient who has a history of taking any oral or intravenous bisphosphonates should inform Dr. Sultan now! Patients potentially at risk of BONJ of oral surgical procedures may be required to undergo a simple blood test to assess their level of bisphosphonates. Depending on the results of CTX

blood, patients may lasix 12 mg have to go on holiday drug for weeks or months for their operation.

Warning: Remember that in most cases BONJ preventable and treatment, giving a full history before surgery! .