Bisphosphonate use and onj

Question

Asked for Male, 27 Years

I am suffering from avn of hip.i have been using bisphosphonate since 10 month.i have a tooth decay.few days ago i underwent a rct.but then pain is persisting. Should i take antibiotics..am i at a greater risk of developing onj.i have been advised by my orthopedic to take zeldronate 5mg iv.should i take the medication or wait till my tooth infection is healed.

Answers (1)

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Dr. Vinu Raj Spine Surgeon 22 yrs exp Bangalore Consult Now · Accepted Answer

Dr. Vinu Raj

Spine Surgeon 22 yrs exp Bangalore

Consult Now

Is there a reason you have been started on Bisphosphonate at such a young age? Usually unless you have medical problems these medications are for elderly. At your age you must have really good bone strength. ONJ develops over a long duration of time. If your RCT is going to be extensive then you will have to discuss with the dentist about the time that will take for the bone to heal. Bisphosphonate has an impact on bone healing and days it. You already have the medication in your bloodstream and stopping for a few days is unlikely to have significant effect. Also confirm the reason for the Bisphosphonate usage. Dr Vinu Raj MBBS MRCS FRCS (Trauma&Orthopaedics) Consultant Orthopaedic Surgeon

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