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@heavyphil

Hate to intrude on that thought, but while in practice I had two patients with osteonecrosis of the jaw; not pretty and very difficult to treat.
They could just be those few statistically unlucky to get it so you have to temper your decision with the risk vs the benefit.
If you have ANY dental issues - especially periodontally involved teeth (bone loss advanced enough to require extraction in the future) get those attended to BEFORE initiation of therapy; you cannot do any invasive dental procedures while on bisphosphonate type drugs.

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Replies to "Hate to intrude on that thought, but while in practice I had two patients with osteonecrosis..."

Sure is good to have a dentist on here to give us the inside information.

My dentist’s office requires that I give them a list of all my medication’s. Did you do that? Did you have a Count of how many total people were on Xgeva and Zometa, Two people had necrosis out of X on Xgeva or Zometa.

Do you recall which drug those two people were taking that caused it.

I know when I fill out the medication list it’s drug, drug, drug so I’m not sure the software has the ability to filter that information If someone wanted details.