Lack of cooperation between physicians and dentists during osteoporosis treatment may increase fractures and osteonecrosis of the jaw

• DOI: 10.1185/03007995.2016.1170005
• Publication Date: 2016-03-23T14:36:59Z
• Authors: Akira Taguchi; Masataka Shiraki; Toshitsugu Sugimoto; Hiroaki Ohta; Satoshi Soen
• Keywords: Bone Density Conservation Agents; Japan; Jaw Fractures; Physicians; Dentists; Tooth Extraction; Osteonecrosis; Humans; Osteoporosis; Interdisciplinary Communication; Cooperative Behavior; 3. Good health

Our previous questionnaire-based survey suggested that discontinuation of antiresorptive agents before tooth extraction may increase adverse events and disturb osteoporosis treatment without completely preventing osteonecrosis the jaw (O.N.J.). We also found little cooperation between physicians dentists in Japan. However, limitations our study included a doctors belonging to small clinics sample size. current aimed confirm results mainly academia.A structured questionnaire including 14 key clinical queries was sent 1812 Japan Osteoporosis Society, 629 responses were received.Dentists requested many medications not associated with incidence O.N.J. A total 523 respondents had received requests from dentists. Of these, 97 experienced 119 25 fractures seven incidences The ratios valid for 3.6% 5.3% patients <3 ≥3 months, respectively. Those 0.7% 1.6%, Respondents who refused reported no cases Approximately 17% discontinued following drug after extraction. 62% did request oral health care by dentist therapy, 72% their region.This reconfirms survey. Discontinuation both Immediate development strategy sharing information about among physicians, dentists, is required reduce skeletal treatment. Study selection bias due low response rate possible inaccurate questionnaire.