Why is dental assessment considered before starting certain osteoporosis therapies?

• A. To schedule routine dental cleanings before treatment.
• B. To reduce the risk of osteonecrosis of the jaw and optimize dental health.
• C. To determine therapy choice based on dental status.
• D. To evaluate for dental caries only

Answer: (B)

Starting osteoporosis therapies that slow or block bone remodeling, especially antiresorptives, carries a risk that the jawbone won’t heal well after dental work or trauma. A dental assessment beforehand helps uncover existing dental infections, decay, gum disease, or unstable teeth that could flare up or complicate healing once treatment begins. By addressing and stabilizing these issues before therapy starts, clinicians reduce the chance of osteonecrosis of the jaw and improve overall dental health, making it safer to proceed with treatment. Routine cleanings or dental status alone aren’t the primary goal, and while dental issues may be considered in therapy planning, the main reason for the assessment is to lower ONJ risk and optimize the mouth’s condition ahead of therapy.