Osteoporosis and Oral Health

Our bodies keep our bones strong by absorbing old bone cells and replacing them with newer and stronger bone material. Osteoporosis is a condition that occurs when we absorb more bone than we replace, resulting in weakened bones. Osteoporosis can affect any part of the body, including the jawbone, and can lead to dental issues like loosening teeth

Osteoporosis medications, like denosumab or bisphosphonates, attempt to bring the reabsorption rate into balance, and can greatly improve bone density and health.

In rare cases and for reasons unknown, these medications can have adverse effects specifically on the jawbone, so it’s important to get a dental exam before starting treatment, especially if you have any existing oral health issues.

Common medications include:

  • Alendronate (Fosamax, Binosto)
  • Ibandronate (Boniva)
  • Risendronate (Actonel, Atelvia)
  • Zolendronic acid (Reclast, Zometa)

In most cases, people taking medication for osteoporosis can proceed with dental procedures like implants and extractions after careful examination and evaluation of the jawbone. The presence of osteoporosis might influence the type of implants used, and the amount of healing time needed after the procedure.

One possible side effect of bisphosphonates is something called medication-related osteonecrosis of the jaw (ONJ or MRONJ), which happens when isolated areas of the jawbone lose their vitality and die.

You might have an increased risk to develop MRONJ if you:

  • Have been on medication for osteoporosis for over two years
  • Have periodontitis or dentures
  • Have been receiving high doses of anti-reabsorption agents (usually for cancer or for preventive osteoporosis treatments)

Over 90% of people who suffer from MRONJ receive high doses of the medication intravenously, in most cases to treat cancer. Rarely does this problem occur in people who take the medication orally.

If you are a candidate for a tooth extraction or implant placement, it’s important to speak with your dentist and healthcare professional about the use of osteoporosis medication.

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Lunch Hours: 1:00 - 2:00pm

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

  • "I have been seeing Dr. Pettit and Jeanie for over 15 years and they make going to the dentist a great experience. Even when I moved away from their office, I still make the drive since they are so warm and professional. They are very personable but also efficient and experienced. I highly recommend Dr. Pettit’s office and when my parents moved to Utah, I got them to go there as well."
  • "My husband and I have been going to Dr. Pettit for years. He is very attentive to your needs and concerns. He keeps up with the latest technologies and will thoroughly discuss the treatment plan with you.
    His office is small, which gives it a calm and personable feel. His office staff is friendly and makes us feel like family.
    I honestly don't know what I'd do if I had to find another dentist."
  • "I will start off by saying that I do not like going to the dentist! But going to Dr. Pettit made me change my thoughts and made my experience enjoyable and fun! They have a great environment and a great staff! Jeanie is awesome and fun to work with! They make you feel welcome and make your time there go by quick! I’ll definitely be getting my annual checkups done because of them!"
  • "Amazing dentist and team. Dr. Pettit made sure to meet all my needs regarding being nervous and was happy to answer any questions I had about my procedures. He wants to make all patients feel comfortable which is great. Jeanie, the dental hygienist, is a sweet lady and is happy to help as well. Becky, the office lady, is also very kind and always happy to help with anything she can! Their dental assistant Melissa is also so kind. Great dentist, 100% recommend if you’re a nervous patient or just need a nice dentist office!"