Researchers have suggested a link between osteoporosis and bone loss in the jaw. Studies suggest that osteoporosis may lead to tooth loss because the density of the bone that supports the teeth may be decreased, which means the teeth no longer have a solid foundation. However, hormone replacement therapy may offer some protection.
Patients on bisphosphonate therapy may be at increased risk for a condition known as Bisphosphonate Related Osteonecrosis of the jaw. This condition can be worsened by invasive dental procedures such as extractions, periodontal surgery, or implant placement. Prior to starting bisphosphonate therapy it is a good idea to make sure your dental problems have been addressed. If you are already taking bisphosphonates and need one of the aforementioned procedures, talk to your periodontist about the risk.