Lot’s of people take medications for osteoporosis. Bisphosphonates such as Fosamax, Actonel, and Boniva are very popular. About 1% of patients who take these drugs have a complication called osteonecrosis (the bone in the mouth dies and becomes exposed). This complication can happen with trauma, having a tooth pulled, or wearing a denture. To date, there are no reliable tests to determine who might have this problem. Even worse, there is not a reliable treatment for the dead exposed bone.
I use low level laser therapy (LLLT) after all treatment. It’s like shining a flashlight on the tissue, patients cannot feel anything. Yet the wavelength of the laser stimulates the gum and bone to heal faster. LLLT also reduces swelling. One study was reported using LLLT to treat osteonecrosis. I have used LLLT on patients that have been referred to me for this problem. So far, every site has healed within weeks of treatment. I anticipate that LLLT may become the first line treatment for osteonecrosis in the jaw.



