[Oradlist] mail survey
Allan G Farman
agfarm01 at louisville.edu
Fri May 1 23:33:32 PDT 2009
Scientific studies have indicated that low doses of orally administered bisphosphonates are unlikely to be associated with untoward effects, and that the majority of cases of "bisphosphonate" osteonecrosis tend to be in folk receiving high doses as part of th regimen of chemotherapy for cancer. However osteonecrosis can occur in the absence of any bisphosphonate history so it obviously can occur on rare occasion in folk who take low doses for osteoporosis prevention just as a coincidence. Such incidences can then be misinterpreted unscientifically as "proof that the scientists have it all wrong."
In the presence of controversy what is a practitioner to do? Often the safe bet is not to be involved in a situation that can lead to prosecution for malpractice even when the scientific evidence is on your side... so dentists might not follow guidelines issued by the American Dental Association and simply refuse to treat or refer such patients.
I am unaware of any national surveys that have assessed the knowledge of US dentists on the topic of bisphosphonates, or measured the present trends in treatment.
Allan G. Farman, BDS, PhD, MBA, DSc, Diplomate ABOMR
Prof. Radiology & Imaging Science
Univ. Louisville School of Dentistry: SUHD
501 South Preston Street,
Louisville, Kentucky 40292, USA
Tel: +1(502) 852.1241
>>> Akira Taguchi <akiratag at nifty.com> 05/01/2009 10:03 PM >>>
Dear oradlist members,
Please let me know how the dentists in your country deal with the
patients who receive the bisphosphonate (BS) for osteoporosis
Recently, there are some rumor damage about this issue in Japan.
I mean many Japanese dentists tend to refuse dental treatment in
patients who receive BS for osteoporosis treatment.
How about your country?
It is very important for me (or for us) to know the trend worldwide
because triaging screening for osteoporosis in dental clinics may not
be meaningful if this trend is common over the world.
Thank you so much in advance.
Akira Taguchi, DDS, PhD
Chair and Professor
Department of Oral and Maxillofacial Radiology
School of Dentistry
Department of Hard Tissue Research
Graduate School of Oral Medicine
Matsumoto Dental University
1780 Gobara, Hirooka, Shiojiri 399-0781 JAPAN
E-mail: akiratag at nifty.com
akiro at po.mdu.ac.jp
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