Thursday, January 18, 2007

Bisphosphonates and braces

It seems that the very mechanism by which orthodontic braces work is what bisphosphonates like Zometa interfere with. What is a very good thing in areas like my hip and vertebrae is not so good in an area where you want bone to be regularly reabsorbed. This is one of the contributing factors to osteonecrosis of the jaw. This is not to say I think I will get osteonecrosis, but it could explain why my teeth do not seem to be moving.


It might be worth having a conversation with the orthodontist about whether there's any point in continuing orthodontic treatment. I'm very bummed about this. I have gaps that will probably never close. The good news is that at least my teeth were pulled before I started Zometa.

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