05/27/2008- For many people, oral health and overall physical health seem to exist as two separate spheres. But it's important to realize that oral health and whole body health go hand-in-hand, and to be especially aware of the effects certain medications have on your dental well being.

Research released by the University of Southern California School of Dentistry in May showed that a mix of bacteria and sticky material forms what's called a biofilm. This biofilm attaches to pitted jaw tissue and defends itself against the body's immune system. Patients taking bisphosphonates over long periods of time or having them administered intravenously are at greatest risk; for the roughly 3 million patients who take Fosamax, Actonel or Boniva orally, the risk is minimal.

The side effects of these drugs can last up to 10 years, so it's best to inform your dentist if you've taken these medications. For those needing intravenous bisphosphonates, we recommend patients with cavities, periodontal disease, impacted wisdom teeth or those in need of extractions have those treatments before starting such medicines. Discuss any dental concerns with your oncologist prior to undergoing treatment.

For those who suffer from osteonecrosis, the primary concern is eliminating infection and minimizing pain. Treatment can range from antibiotics and mouth rinses, to removing portions of the dead jawbone. The best advice? Inform your dentist of all medications you are taking. This gives your dentist the opportunity to explore alternative treatments. Be certain to have partials and dentures checked regularly by your dentist to avoid sores that can lead to infections and possible osteonecrosis. And be sure to receive professional dental cleanings and examinations, to catch problems early, before they lead to more complicated dental or medical issues.

Dr. Rick Mueller is a general dentist at the Dental Clinic of Marshfield.