I have been taking alendronate (Fosamax®) for many years. Is there a test for osteonecrosis of the jaw (ONJ) that I can take before having a tooth pulled?
ONJ is a rare disorder that has been associated with the use of bisphosphonate medications, including alendronate (Fosamax®), ibandronate (Boniva®), risedronate (Actonel®, Atelvia®) and zoledronic acid (Reclast®). The overwhelming majority of patients who develop ONJ include cancer patients who have taken repeated high dosages of intravenous (IV) bisphosphonates. At this time, there are no tests that are proven to predict ONJ. We encourage individuals to talk to their healthcare provider and dentist or oral surgeon about their risk of developing this condition. Regular dental visits and excellent oral hygiene practices may be the best way to reduce your chance of developing ONJ.
