Bisphosphonate-Associated Osteonecrosis of the Jaw Patient Care Considerations: Overview for the Orthopaedic Nursing Healthcare Professional

An emerging problem for patients taking bisphosphonate (BSP) medications for osteoporosis or cancer therapies has been the occurrence of osteonecrosis of the jaws (ONJ), most often after dental surgical procedures. ONJ can be a persistent and discomforting condition that can also be refractory to various therapies. This article will overview the pathophysiology of ONJ, the proposed causal relationship between BSP use and ONJ, and the current guidelines for dental care of a patient who will be, or is taking, this class of medications. Included are suggested guidelines for the orthopaedic nurse who may interact with these patients. Alternate names for this malady are as follows: BSP-induced osteonecrosis of the jaws (BIONJ) BSP-related osteonecrosis of the jaws (BON, BRONJ)