Bisphosphonate dental clearance 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the patient's name in the designated field at the top of the form. This ensures that all information is accurately attributed.
  3. In the section regarding medical treatment, check the appropriate box for the condition being treated, such as Multiple Myeloma or Osteoporosis. This helps clarify the purpose of the dental clearance.
  4. Select any relevant medications from the list provided. This is crucial for informing dental practitioners about potential risks associated with bisphosphonate treatments.
  5. The referring practitioner should fill in their name and details in the specified area, ensuring proper communication between medical and dental professionals.
  6. Finally, have the dentist complete their evaluation, sign, and date the form to confirm that no active dental issues are present before treatment begins.

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It is typically advised to avoid invasive dental treatment such as a tooth extraction while taking bisphosphonate drugs. If possible, it is recommended to salvage the tooth with a root canal and crown rather than having the tooth removed from the mouth.
Treatment with bisphosphonates: If you are on certain types of drugs called bisphosphonates for the management of cancerrelated conditions or osteoporosis, there may be higher incidence of impaired bone healing or bone death (osteonecrosis) if you undergo tooth extraction or jaw surgery.
Medication-related osteonecrosis of the jaw often occurs after tooth extraction; therefore, the withdrawal of antiresorptive agents for 23 months before invasive dental procedures is recommended, despite the lack of evidence on its effectiveness.
Crowns should be placed on teeth with large fillings or with a high risk of fracture. Extractions, periodontal surgery, orthodontics and implants should be avoided in those who have had intravenous bisphosphonate treatment.
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