These complications are relatively rare (about 0.7 per 100,000 person-years' exposures) and occur more often with intravenous bisphosphonates. However, in early 2006, complications in individuals taking these drugs orally for treatment of osteoporosis were reported. Bisphosphonate drugs appear to adversely affect the ability of bone to heal normally. This risk is increased after dental surgery where bone is affected such as removal of teeth and dental implants. If healing does not occur, bone may remain exposed, pain may be present and infection may develop. This may result in loss of bone or jaw fracture. This is a long-term destructive process in the jawbone (osteonecrosis) that is often very difficult to manage. If osteonecrosis should occur, treatment may be prolonged and complex and requires special experience in management. Even if there are no immediate complications from the proposed dental treatment, the area may be subject to spontaneous breakdown and infection. Even minimal trauma from a toothbrush, chewing hard food, or denture sores may trigger a complication. Regular and frequent dental check-ups with your dentist are important to monitor and attempt to prevent breakdown in youroral health.

The tables below list examples of oral and I.V. bisphosphonates:

 

 

 

I have read the above paragraphs and understand the possible risks of undergoing my planned treatment. I understand and agree to the treatment plan presented to me. This treatment may involve Periodontal Surgery, Implant Surgery, Bone Grafting Surgery, Soft Tissue Grafting Surgery, combinations of the above or other surgical and non-surgical treatments offered by Dr. Farzin Ghannad, Dr. Hannu Larjava, Dr. Nabil Nadji, Dr. Robert Straga, Dr. Farzan Ghannad and their trained staff. I understand the importance of my health history and affirm that I have given any and all information that may impact my care.I realize that, despite all precautions that may be taken to avoid complications, the complications described above may still occur.

I certify that I have read and fully understand this consent for dental treatment, have had my questions answered and that all blanks

were filled in prior to my signature. I consent to photographic recording/documentation of any aspect of my treatment or follow-up care and i understand that these records will be used to document the progress of my care along with other purposes as stated above.