OSTEOPOROSIS

Osteoporosis literally means porous bone. There is a reduction of density and quality of bone with this disease. As bones become more porous and fragile, the risk of fracture is greatly increased. The loss of bone occurs silently and progressively. Often there are no symptoms until the first fracture occurs. This condition is commonly seen in post menopausal women.

TREATMENTS FOR OSTEOPOROSIS

One of the common treatments for osteoporosis is administration of a group of medications known as bisphosphonates which slow bone loss and reduce risk of fracture. One of the side effects of these drugs is spontaneous bone death (osteonecrosis), including upper and lower jawbones. This risk is greatly increased when the upper or lower jawbone is exposed during a dental surgical procedure (extraction, implant placement, periodontal surgery, etc). Accordingly, it is very important to get any needed periodontal treatment completed BEFORE starting on bisphosphonate therapy. Also, while on bisphosphonate therapy, it is important to stay on a strict periodontal maintenance program to prevent the need for invasive surgical dental treatment, which could put the patient at significant risk for osteonecrosis.

There are three levels of administration for these medications…oral, IM, IV/infusion. There is an incremental increase in risk for osteonecrosis as the patient goes from oral to IV infusion.

Commonly Prescribed Osteoporosis Medications (Bisphosphonates)

Risedronate(Actonel)
Alendronate(Fosamax)
Ibandronate (Boniva)
Zoledronic Acid (Reclast)
Pamidronate (Aredia)
Etidronate (Didronel)

Examples of Bisphosphonate osteonecrosis after single tooth extraction and implant placement

P3 Dental offers locally applied pharmaceutical formulations to reduce the chances of developing jawbone osteonecrosis associated with bisphosphonate therapy.

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Very informative and interactive with the hygienists and the doctor. I learned about the product and how to use it effectively in the practice. I would recommend this for anyone using the products.

About P3 Dental

I was diagnosed with diabetes mellitus over twenty years ago. Sometime after, I presented to Dr. Britt with a gum infection that required periodontal surgery. From that point to present, Dr. Britt and Michelle have administered P3 treatments regularly with no recurrence of any gum related problems. Dr. Britt has shared how important P3 is to overall management of the diabetic condition. Very grateful to have been introduced to this periodontal treatment.

P3 is Life Saving

First of all, I have been under Dr Britt’s care for over 30 years and the care from Dr Britt and Michelle is stellar. But more importantly, it falls into the life saving category for me. I received a double lung transplant in 2021, so inflammation and bacteria fighting are critical to my longevity. His use of P3 antibiotics are a significant part of my bacteria fighting regimen. I can’t say enough about the importance of this treatment. The results speak for themselves. I am alive and thriving but taking care to take advantage of every necessary steps to maintain my condition. P3 is one of those important steps.

Dr Britt and Michelle are highly trained professionals, and have always given me the very best for my oral health. The P3 treatment is very effective.

RDH Blairsville, GA

I have had the privilege of enhancing oral health for several patients over the past 6 years or more thanks to P3. This product is easy to apply, yet very effective.
Oral health is so important and many people are understanding that they need to focus on obtaining and maintaining the health of their mouth. This is especially true for individuals with autoimmune compromises/diseases. The more sound healing that is accomplished with applications of P3 allows patients to find encouragement and motivation to keep working on their oral health care.
P3 is not only easy to use, but it is cost effective and worth the investment for the patient (without taking too much from their monetary resources).
Thank you for the option and benefits accomplished with P3!

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