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[object Object],[object Object]
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RECOMMENDATIONS FOR MANAGEMENT  OF DENTAL CARE OF PATIENTS RECEIVING  ORAL BISPHOSPHONATE THERAPY
[object Object],[object Object],[object Object]
[object Object],Oral and maxillofacial surgery. Patients  undergoing invasive surgical procedures should be informed of the risk of developing BON, although that risk is small. The clinician should discuss with the patient alternative treatment plans, which include endodontics (endodontic treatment followed by removal of the clinical crown), allowing the roots to exfoliate (instead of extraction) and provision of bridges and partial dentures (instead of implant placement). If extractions or bone surgery are necessary, the clinician should consider conservative surgical technique with primary tissue closure, when feasible. In addition, immediately before and after any surgical procedures involving bone, the patient should rinse gently with a chlorhexidinecontaining rinse until the site has healed. The regimen may be extended on the basis of the patient’s healing progress. Use of prophylactic antibiotics after a surgical procedure should be based on the risk of an infection and not on the  patient’s bisphosphonate therapy.  There is no evidence that the use of antibiotics is effective in preventing  BON.
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