American Board of Internal Medicine (ABIM) Certification Practice Exam

What is a recommended practice for patients on bisphosphonates regarding oral health?

1. Daily use of mouthwash

2. Regular dental appointments

3. Patients should avoid dental care

4. No specific recommendations

The correct answer is: Regular dental appointments

For patients on bisphosphonates, regular dental appointments are recommended to help prevent and manage potential complications associated with the use of these medications. Bisphosphonates are commonly prescribed to treat conditions such as osteoporosis and certain cancers, and they can be associated with a rare but serious condition known as osteonecrosis of the jaw (ONJ). Regular dental visits allow for proactive monitoring of oral health, ensuring that any dental issues are identified and treated early. Dental health is crucial for these patients, as procedures like extractions or invasive treatments can heighten the risk of ONJ if not appropriately managed. By maintaining regular dental check-ups, healthcare providers can collaborate with dentists to manage any oral health concerns before they escalate, providing an additional layer of safety for patients undergoing bisphosphonate therapy. This practice emphasizes the importance of oral health maintenance while on bisphosphonate therapy, highlighting a proactive approach to patient care.