Re: Bisphosphonate and dental implant

September 19, 2011

1st thing to check is type of bisphos, as IV bisphos have more risk of causing osteonecrosis(ON) than oral bisphos.Its not only extraction which could induce ON but even very small source of inf in mouth could cause it,e.g. there is a recorded case of ON in a pt on IV bisphos using a denture with rough edge.Even a pt on IV bisphos,using hard brush & doing aggresive brushing could induce ON.So in light of these examples implant is very extreme treatment even to think for a pt on IV bisphos.I think in RCS course they mentioned implant as a mistake for a pt on Bisphos.From: Medo <mayada_aldory@...> Sent: Monday, 19 September 2011, 20:00Subject: Bisphosphonate and dental implant

Hi i had just finished my ore2 course at RCS

One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

And after that when starting the replacement options they said implants

I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

What do u think about this?

September 19, 2011

I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing SincerelyLyudmylaFrom: Medo <mayada_aldory@...> Sent: Monday, 19 September 2011, 20:00Subject:

Bisphosphonate and dental implant

Hi i had just finished my ore2 course at RCS

One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

And after that when starting the replacement options they said implants

I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

What do u think about this?

September 19, 2011

If being given bisphosphonate and had previous history of radiation implant would fail in that case too. Cuz of irradiated implant bed.Sent from my iPhoneOn 20 Sep 2011, at 00:00, "Medo" <mayada_aldory@...> wrote:

Hi i had just finished my ore2 course at RCS

One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

And after that when starting the replacement options they said implants

I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

What do u think about this?

September 20, 2011

I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and even if you don't give this option its not a problem.regardsAqsaFrom: Lyudmyla Huhley <huhley2006@...>" "

< >Sent: Monday, 19 September 2011, 21:19Subject: Re: Bisphosphonate and dental implant

I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing SincerelyLyudmylaFrom: Medo <mayada_aldory@...> Sent: Monday, 19 September 2011, 20:00Subject:

Bisphosphonate and dental implant

Hi i had just finished my ore2 course at RCS

One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

And after that when starting the replacement options they said implants

I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

What do u think about this?

September 20, 2011

Well I agree with the discussion around here regarding bisphosphonates. However I feel it would be a good idea to mention about replacement options generally available and informing the patient advantages, disadvantages and risks associated with each option. Medico-legally perhaps it is essential to inform the patient about all the option as patient could claim later he or she was not told anything about that option.Correct me if I am wrong.VanajaFrom: Aqsa Fatima Burki <aqsaburki@...>Subject: Re: Bisphosphonate and dental implant" "

< >Date: Tuesday, 20 September, 2011, 18:51

I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and even if you don't give this option its not a problem.regardsAqsaFrom: Lyudmyla Huhley <huhley2006@...>" "

< >Sent: Monday, 19 September 2011, 21:19Subject: Re: Bisphosphonate and dental implant

I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing SincerelyLyudmylaFrom: Medo <mayada_aldory@...> Sent: Monday, 19 September 2011, 20:00Subject:

Bisphosphonate and dental implant

Hi i had just finished my ore2 course at RCS

One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

And after that when starting the replacement options they said implants

I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

What do u think about this?

September 20, 2011

For the record there are some case reports published in some Implantology journals where they claim success of dental Implants in patients who were on bisphosphonates. although they were not UK authors! So Mentioning about Dental Implants and explaining the risks associated with it can be made them known.VanajaFrom: Aqsa Fatima Burki <aqsaburki@...>Subject: Re: Bisphosphonate and dental implant" " < >Date: Tuesday, 20 September, 2011, 18:51

I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and even if you don't give this option its not a problem.regardsAqsaFrom: Lyudmyla Huhley <huhley2006@...>" "

< >Sent: Monday, 19 September 2011, 21:19Subject: Re: Bisphosphonate and dental implant

I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing SincerelyLyudmylaFrom: Medo <mayada_aldory@...> Sent: Monday, 19 September 2011, 20:00Subject:

Bisphosphonate and dental implant

Hi i had just finished my ore2 course at RCS

One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

And after that when starting the replacement options they said implants

I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

What do u think about this?

September 21, 2011

hi can you plz tell me which periodental ligamint is thinnest and thickest along the tooth surfaces.

From: Lyudmyla Huhley <huhley2006@...>" " < >Sent: Monday, 19 September 2011, 21:19Subject: Re: Bisphosphonate and dental implant

I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing

SincerelyLyudmyla

From: Medo <mayada_aldory@...> Sent: Monday, 19 September 2011, 20:00Subject: Bisphosphonate and dental implant

Hi i had just finished my ore2 course at RCSOne of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosisAnd after that when starting the replacement options they said implantsI checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)What do u think about this?

September 21, 2011

Is said that periodontal ligament is hour glass shaped, meaning is thinner in the middle third and wider in apical and coronal thirds.Hope it helps.From: Reem Al Yamoor <reemalyamoor@...>" " < >Sent: Wednesday, 21 September 2011, 9:21Subject: Re: Bisphosphonate and dental implant

hi can you plz tell me which periodental ligamint is thinnest and thickest along the tooth surfaces.

From: Lyudmyla Huhley <huhley2006@...>" " < >Sent: Monday, 19 September 2011, 21:19Subject: Re: Bisphosphonate and dental implant

I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing

SincerelyLyudmyla

From: Medo <mayada_aldory@...> Sent: Monday, 19 September 2011, 20:00Subject: Bisphosphonate and dental implant

Hi i had just finished my ore2 course at RCSOne of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosisAnd after that when starting the replacement options they said implantsI checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)What do u think about this?

September 21, 2011

hi guysthere is no contra indication of implants if you are either on oral or IV bisphosph , or even smoking or diabetic , its important the pt know the risk and rate of success or failure hope this helps kiran From: Reem Al Yamoor <reemalyamoor@...>" "

< >Sent: Wednesday, September 21, 2011 9:21 AMSubject: Re: Bisphosphonate and dental implant

hi can you plz tell me which periodental ligamint is thinnest and thickest along the tooth surfaces.

From: Lyudmyla Huhley <huhley2006@...>" " < >Sent: Monday, 19 September 2011, 21:19Subject: Re: Bisphosphonate and dental implant

I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing

SincerelyLyudmyla

From: Medo <mayada_aldory@...> Sent: Monday, 19 September 2011, 20:00Subject: Bisphosphonate and dental implant

Hi i had just finished my ore2 course at RCSOne of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosisAnd after that when starting the replacement options they said implantsI checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)What do u think about this?

September 22, 2011

Hi Guys, I have checked 3 studies about implants in pts taking bisphos,2 in

state uni of NY & 1 in uni of Catania,Italy.They have done implants in pts on

oral & iv bisphos & few of them were successful.but end extract of every studies

is " pts taking bisphos may be at higher risk for implant failure " .

On Tue, 20 Sep 2011 14:55 BST Dr.Vanaja k wrote:

>For the record there are some case reports published in some Implantology

journals where they claim success of dental Implants in patients who were on

bisphosphonates. although they were not UK authors! So Mentioning about Dental

Implants and explaining the risks associated with it can be made them known.

>Vanaja

>

>From: Aqsa Fatima Burki <aqsaburki@...>

>Subject: Re: Bisphosphonate and dental implant

> " " < >

>Date: Tuesday, 20 September, 2011, 18:51

>

> I think i did the same course, what they meant was u can offer patient

the option but in disadvantages you can tell patient why it is not suitable for

them which is why it was kept in the last and even if you don't give this

option its not a problem.

>regards

>Aqsa

>From: Lyudmyla Huhley <huhley2006@...>

> " "

> < >

>Sent: Monday, 19 September 2011, 21:19

>Subject: Re: Bisphosphonate and dental implant

>

> I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O

bisphosph you can give the option of implant..,but I/V-no.The risk is of

Osteonecrosis from 10000 to 100000,also depends on dosage and timing

> Sincerely

>Lyudmyla

>From: Medo <mayada_aldory@...>

>

>Sent: Monday, 19 September 2011, 20:00

>Subject:

> Bisphosphonate and dental implant

>

> Hi i had just finished my ore2 course at RCS

>

>One of the cases we treated was a patient on bisphosphinate and they told us

never to extract a tooth coz of the poor bone blood supply and the posibility of

osteonecrosis

>

>And after that when starting the replacement options they said implants

>

>I checked about that and find out implant would fail with those patints coz of

the same reasons ( poor blood supply and poor bone remodiling)

>

>What do u think about this?

>

October 3, 2011

HeyA bit more information I found..but not abt implantsWhat are the risk factors for Bis-phosphonate-associated ONJ?Use of high-dose IV bis-phosphonateLonger duration of treatment with bis-phosphonateSteroid use

(Prednisolone, Dexamethasone etc.)Alcohol abuse and tobacco usePeople suffering from cancerPoor dental hygiene and those who undergo a dental procedure such as dental extractionDiabetes mellitusWhat are the common bis-phosphonates used in treatment of osteoporosis & cancer?Alendronate

(Fosamax, Fosamax plus, Alendro) and Risedronate (Actonel, Actonel Combi) are most often used for osteoporosis treatment in oral form. Pamidronate (Aredia, Pamisol) and Zolendronic Acid (Zometa) are given by IV dose in cancer. SincerelyLyudmylaFrom: Adnan Ashraf <adnanashraf2401@...> Sent: Thursday, 22 September 2011, 9:44Subject: Re: Bisphosphonate and dental implant

Hi Guys, I have checked 3 studies about implants in pts taking bisphos,2 in state uni of NY & 1 in uni of Catania,Italy.They have done implants in pts on oral & iv bisphos & few of them were successful.but end extract of every studies is"pts taking bisphos may be at higher risk for implant failure".

On Tue, 20 Sep 2011 14:55 BST Dr.Vanaja k wrote:

>For the record there are some case reports published in some Implantology journals where they claim success of dental Implants in patients who were on bisphosphonates. although they were not UK authors! So Mentioning about Dental Implants and explaining the risks associated with it can be made them known.

>Vanaja

>

>From: Aqsa Fatima Burki <aqsaburki@...>

>Subject: Re: Bisphosphonate and dental implant

>" " < >

>Date: Tuesday, 20 September, 2011, 18:51

>

> I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and even if you don't give this option its not a problem.

>regards

>Aqsa

>From: Lyudmyla Huhley <huhley2006@...>

>" "

> < >

>Sent: Monday, 19 September 2011, 21:19

>Subject: Re: Bisphosphonate and dental implant

>

> I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing

> Sincerely

>Lyudmyla

>From: Medo <mayada_aldory@...>

>

>Sent: Monday, 19 September 2011, 20:00

>Subject:

> Bisphosphonate and dental implant

>

> Hi i had just finished my ore2 course at RCS

>

>One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

>

>And after that when starting the replacement options they said implants

>

>I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

>

>What do u think about this?

>

October 3, 2011

check the attachment and lets discuss the treatment plan

>

>From: Aqsa Fatima Burki <aqsaburki@...>

>Subject: Re: Bisphosphonate and dental implant

>" " < >

>Date: Tuesday, 20 September, 2011, 18:51

>

> I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and even if you don't give this option its not a problem.

>regards

>Aqsa

>From: Lyudmyla Huhley <huhley2006@...>

>" "

> < >

>Sent: Monday, 19 September 2011, 21:19

>Subject: Re: Bisphosphonate and dental implant

>

> I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing

> Sincerely

>Lyudmyla

>From: Medo <mayada_aldory@...>

>

>Sent: Monday, 19 September 2011, 20:00

>Subject:

> Bisphosphonate and dental implant

>

> Hi i had just finished my ore2 course at RCS

>

>One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

>

>And after that when starting the replacement options they said implants

>

>I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

>

>What do u think about this?

>

2 of 2 File(s)

1.tif

2.tif

October 3, 2011

Hello,I want to apply for attachment in a dental department in a hospital...can anyone guide me a little?or anyone doing SHO job?AsmaFrom: ammar k <ammarkiliddar@...> Sent: Monday, October 3, 2011 10:50 PMSubject: Re: Bisphosphonate and dental implant

HHi Lyudmyla, the attachment is small i cant read it. could u scan it again on high resolution.

Ammar

> >>

> >>From: Aqsa Fatima Burki <aqsaburki@...>

> >>Subject: Re: Bisphosphonate and dental implant

> >>" " < >

> >>Date: Tuesday, 20 September, 2011, 18:51

> >>

> >>Ã‚

> >>

> >> I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and Ã‚ even if you don't give this option its not a problem.

> >>regards

> >>Aqsa

> >>From: Lyudmyla Huhley <huhley2006@...>

> >>" "

> >> < >

> >>Sent: Monday, 19 September 2011, 21:19

> >>Subject: Re: Bisphosphonate and dental implant

> >>

> >>Ã‚

> >>

> >> I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing

> >>Ã‚ Sincerely

> >>Lyudmyla

> >>From: Medo <mayada_aldory@...>

> >>

> >>Sent: Monday, 19 September 2011, 20:00

> >>Subject:

> >> Bisphosphonate and dental implant

> >>

> >>Ã‚

> >>

> >> Hi i had just finished my ore2 course at RCS

> >>

> >>One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

> >>

> >>And after that when starting the replacement options they said implants

> >>

> >>I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

> >>

> >>What do u think about this?

> >>

> >

>

October 4, 2011

me too i couldn't read itthank you all for helping in this caseFrom: ammar k <ammarkiliddar@...>Subject: Re: Bisphosphonate and dental implant Date: Tuesday, October 4, 2011, 12:50 AM

HHi Lyudmyla, the attachment is small i cant read it. could u scan it again on high resolution.

Ammar

> >>

> >>From: Aqsa Fatima Burki <aqsaburki@...>

> >>Subject: Re: Bisphosphonate and dental implant

> >>" " < >

> >>Date: Tuesday, 20 September, 2011, 18:51

> >>

> >>Ã‚

> >>

> >> I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and Ã‚ even if you don't give this option its not a problem.

> >>regards

> >>Aqsa

> >>From: Lyudmyla Huhley <huhley2006@...>

> >>" "

> >> < >

> >>Sent: Monday, 19 September 2011, 21:19

> >>Subject: Re: Bisphosphonate and dental implant

> >>

> >>Ã‚

> >>

> >> I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing

> >>Ã‚ Sincerely

> >>Lyudmyla

> >>From: Medo <mayada_aldory@...>

> >>

> >>Sent: Monday, 19 September 2011, 20:00

> >>Subject:

> >> Bisphosphonate and dental implant

> >>

> >>Ã‚

> >>

> >> Hi i had just finished my ore2 course at RCS

> >>

> >>One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

> >>

> >>And after that when starting the replacement options they said implants

> >>

> >>I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

> >>

> >>What do u think about this?

> >>

> >

>

October 4, 2011

From: Asma Tanweer <tanweer.asma@...>" " < >Sent: Monday, 3 October 2011 11:09 PMSubject: Re: Re: Bisphosphonate and dental implant

Hello,

I want to apply for attachment in a dental department in a hospital...can anyone guide me a little?or anyone doing SHO job?

Asma

From: ammar k <ammarkiliddar@...> Sent: Monday, October 3, 2011 10:50 PMSubject: Re: Bisphosphonate and dental implant

HHi Lyudmyla, the attachment is small i cant read it. could u scan it again on high resolution.Ammar> >>> >>From: Aqsa Fatima Burki <aqsaburki@...>> >>Subject: Re: Bisphosphonate and dental implant> >>" " < >> >>Date: Tuesday, 20 September, 2011, 18:51>

>>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >>Ã‚ > >>> >>> >>> >> > >>> >>> >> > >> > >> > >> I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and Ã‚ even if you don't give this option its not a problem.> >>regards> >>Aqsa> >>From: Lyudmyla Huhley <huhley2006@...>> >>" "> >> < >> >>Sent: Monday, 19 September 2011, 21:19> >>Subject: Re: Bisphosphonate and dental implant> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >>Ã‚ > >>> >>> >>> >> > >> > >> > >> I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is

of Osteonecrosis from 10000 to 100000,also depends on dosage and timing> >>Ã‚ Sincerely> >>Lyudmyla> >>From: Medo <mayada_aldory@...>> >> > >>Sent: Monday, 19 September 2011, 20:00> >>Subject: > >> Bisphosphonate and dental implant> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >>Ã‚ > >>> >>> >>> >> > >> > >> > >> Hi i had just finished my ore2 course

at RCS> >>> >>One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis> >>> >>And after that when starting the replacement options they said implants> >>> >>I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)> >>> >>What do u think about this?> >>> >>> >>> >>> >>> >> > >> > >>> >>> >>> >> > >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >> > >>>

>>> >>> >> > >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >> > >>> >> > >> > >>> >>> >> > >>> >>Dear Asma

You first need to either ring (via Switchboard )or go to the Hospital where you want to do attachment.You need to speak to the person who is either responsible for Maxillofacial dept in Medical Staffing/HR or there would be an administrator they might put you through.

Alternatively you can go and visit the Maxillofacial Consultants Sec or Medical staffing.

I am sure you will get some information.> >> Hope it Helps.

Regards

Parul> >>> >>> >>> >>> >>> >>> >>> >> >> >> >>

October 4, 2011

It's really a bit hard tô ready.

Hopefully you have better resolution?

Tks

Rossana

On Oct 4, 2011 2:38 PM, " mayada " <mayada_aldory@...> wrote:> me too i couldn't read itthank you all for helping in this case

> > > > From: ammar k <ammarkiliddar@...>

> Subject: Re: Bisphosphonate and dental implant> > Date: Tuesday, October 4, 2011, 12:50 AM> >

> > > > > > > > > > > > > > > > > > > > > > > >

> HHi Lyudmyla, the attachment is small i cant read it. could u scan it again on high resolution.> > > > Ammar> > > > > >> >>> >> >>From: Aqsa Fatima Burki <aqsaburki@...>

> >> >>Subject: Re: Bisphosphonate and dental implant> >> >> " " < >

> >> >>Date: Tuesday, 20 September, 2011, 18:51> >> >>> >> >>> >> >>> >> >>> >> >>>

>> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>

> >> >>> >> >>> >> >> > >> >>Â > >> >>> >> >>> >> >>>

>> >> > >> >>> >> >>> >> >> > >> >> > >> >> > >> >> I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and Â even if you don't give this option its not a problem.

> >> >>regards> >> >>Aqsa> >> >>From: Lyudmyla Huhley <huhley2006@...>> >> >> " "

> >> >> < >> >> >>Sent: Monday, 19 September 2011, 21:19> >> >>Subject: Re: Bisphosphonate and dental implant

> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>

> >> >>Â > >> >>> >> >>> >> >>> >> >> > >> >> > >> >> >

>> >> I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing

> >> >>Â Sincerely> >> >>Lyudmyla> >> >>From: Medo <mayada_aldory@...>> >> >>

> >> >>Sent: Monday, 19 September 2011, 20:00> >> >>Subject: > >> >> Bisphosphonate and dental implant> >> >>> >> >>

> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>

> >> >>> >> >>> >> >>> >> >>> >> >>> >> >> > >> >>Â >

>> >>> >> >>> >> >>> >> >> > >> >> > >> >> > >> >> Hi i had just finished my ore2 course at RCS

> >> >>> >> >>One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

> >> >>> >> >>And after that when starting the replacement options they said implants> >> >>> >> >>I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

> >> >>> >> >>What do u think about this?> >> >>> >> >>> >> >>> >> >>> >> >>

> >> >> > >> >> > >> >>> >> >>> >> >>> >> >> > >> >>>

>> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>

> >> >> > >> >> > >> >>> >> >>> >> >>> >> >> > >> >>>

>> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>> >> >>

> >> >> > >> >> > >> >>> >> >> > >> >> > >> >>> >> >>>

>> >> > >> >>> >> >>> >> >>> >> >> > >> >>> >> >>> >> >>

> >> >>> >> >>> >> >>> >> >>> >> >>> >> >> >> >> >> >

> >> >> >>> > > > > > > > > > > > > > > > > >

> > > > > > >

October 4, 2011

Hisorry guys ((I dont have any other form of it,someone sent it to me to share.this is all i have SincerelyLyudmylaFrom: mayada <mayada_aldory@...> Sent: Tuesday, 4 October 2011, 14:38Subject: Re: Re: Bisphosphonate and dental implant

me too i couldn't read itthank you all for helping in this caseFrom: ammar k <ammarkiliddar@...>Subject: Re: Bisphosphonate and dental implant Date: Tuesday, October 4, 2011, 12:50 AM

HHi Lyudmyla, the attachment is small i cant read it. could u scan it again on high resolution.

Ammar

> >>

> >>From: Aqsa Fatima Burki <aqsaburki@...>

> >>Subject: Re: Bisphosphonate and dental implant

> >>" " < >

> >>Date: Tuesday, 20 September, 2011, 18:51

> >>

> >>Ã‚

> >>

> >> I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and Ã‚ even if you don't give this option its not a problem.

> >>regards

> >>Aqsa

> >>From: Lyudmyla Huhley <huhley2006@...>

> >>" "

> >> < >

> >>Sent: Monday, 19 September 2011, 21:19

> >>Subject: Re: Bisphosphonate and dental implant

> >>

> >>Ã‚

> >>

> >> I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is of Osteonecrosis from 10000 to 100000,also depends on dosage and timing

> >>Ã‚ Sincerely

> >>Lyudmyla

> >>From: Medo <mayada_aldory@...>

> >>

> >>Sent: Monday, 19 September 2011, 20:00

> >>Subject:

> >> Bisphosphonate and dental implant

> >>

> >>Ã‚

> >>

> >> Hi i had just finished my ore2 course at RCS

> >>

> >>One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis

> >>

> >>And after that when starting the replacement options they said implants

> >>

> >>I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)

> >>

> >>What do u think about this?

> >>

> >

>

October 4, 2011

hi asma the clinical attachment has been stopped since 2 years i think no units offer clinical attachment they can sometimes only give clinical observer , which i was in 2004-2005 got a maxfax job after gods grace and my consultant support , u may get observer ship but without GDC registration very rare depends where u are looking best of luck kiran From: Parul Vats <docparul_111@...>" " < >Sent: Tuesday, October 4, 2011 2:52 PMSubject: Re: Re: Bisphosphonate and dental implant

From: Asma Tanweer <tanweer.asma@...>" " < >Sent: Monday, 3 October 2011 11:09 PMSubject: Re: Re: Bisphosphonate and dental implant

Hello,

I want to apply for attachment in a dental department in a hospital...can anyone guide me a little?or anyone doing SHO job?

Asma

From: ammar k <ammarkiliddar@...> Sent: Monday, October 3, 2011 10:50 PMSubject: Re: Bisphosphonate and dental implant

HHi Lyudmyla, the attachment is small i cant read it. could u scan it again on high resolution.Ammar> >>> >>From: Aqsa Fatima Burki <aqsaburki@...>> >>Subject: Re: Bisphosphonate and dental implant> >>" " < >> >>Date: Tuesday, 20 September, 2011,

18:51>

>>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >>Ã‚ > >>> >>> >>> >> > >>> >>> >> > >> > >> > >> I think i did the same course, what they meant was u can offer patient the option but in disadvantages you can tell patient why it is not suitable for them which is why it was kept in the last and Ã‚ even if you don't give this option its not a problem.> >>regards> >>Aqsa> >>From: Lyudmyla Huhley <huhley2006@...>> >>" "> >> < >> >>Sent: Monday, 19 September 2011, 21:19> >>Subject: Re: Bisphosphonate and dental implant> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >>Ã‚ > >>> >>> >>> >> > >> > >> > >> I/O bisphosph.are less dangerous than I/V,I read somewhere that for I/O bisphosph you can give the option of implant..,but I/V-no.The risk is

of Osteonecrosis from 10000 to 100000,also depends on dosage and timing> >>Ã‚ Sincerely> >>Lyudmyla> >>From: Medo <mayada_aldory@...>> >> > >>Sent: Monday, 19 September 2011, 20:00> >>Subject: > >> Bisphosphonate and dental implant> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >>Ã‚ > >>> >>> >>> >> > >> > >> > >> Hi i had just finished my ore2

course

at RCS> >>> >>One of the cases we treated was a patient on bisphosphinate and they told us never to extract a tooth coz of the poor bone blood supply and the posibility of osteonecrosis> >>> >>And after that when starting the replacement options they said implants> >>> >>I checked about that and find out implant would fail with those patints coz of the same reasons ( poor blood supply and poor bone remodiling)> >>> >>What do u think about this?> >>> >>> >>> >>> >>> >> > >> > >>> >>> >>> >> > >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >> > >>>

>>> >>> >> > >>> >>> >>> >>> >>> >>> >>> >>> >>> >> > >> > >>> >> > >> > >>> >>> >> > >>> >>Dear Asma

You first need to either ring (via Switchboard )or go to the Hospital where you want to do attachment.You need to speak to the person who is either responsible for Maxillofacial dept in Medical Staffing/HR or there would be an administrator they might put you through.

Alternatively you can go and visit the Maxillofacial Consultants Sec or Medical staffing.

I am sure you will get some information.> >> Hope it Helps.

Regards

Parul> >>> >>> >>> >>> >>> >>> >>> >> >> >> >>

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