Osteonecrosis of the Jaw (ONJ)

The majority of ONJ cases involve the mandible, and the minority involve either the maxilla or both the mandible and maxilla. Osteonecrosis of the jaw symptoms of pain, numbness, heaviness, swelling, infection, loose teeth, exposed bone, and drainage from the gums and/or jaw are usually present at the location where a tooth was extracted. However, ONJ can also develop spontaneously in the absence of invasive dental work. ONJ can also be present without symptoms, which can make diagnosis difficult. Some patients’ first sign of the condition is exposed visible jawbone.

Now patients on bisphosphonates, either oral or intravenous, are advised to avoid invasive dental procedures during drug treatment and also to potentially discontinue the drug if ONJ develops. However, before warnings were issued by Merck and the FDA, many unknowingly underwent extractions and other dental procedures and developed osteonecrosis of the jawbone as a result.

Diagnosis of osteonecrosis of the jaw can be done with X rays or cultures which test for signs of infection. Treatment of osteonecrosis of the jaw can include antibiotics and rinses. Surgery may be necessary but can also exacerbate lesions and contribute to worsening of the condition. Removal of tissue can also be performed.

If you or a family member took Fosamax and developed fractures in any part of the body or osteonecrosis of the jawbone, you have valuable legal rights. At Mark & Associates, P.C., we work to protect the rights of those injured by defective drugs. Please contact us today at 1-866-50-RIGHTS (1-866-507-4448) or fill out the form at the right. All initial consultations are free and carry no obligation.