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Fosamax and Braces

My wifes orthodontist recommended a consultation with a periodontist prior to him starting the procedure for braces. My wife is a 65 year old in good health who has taken FOSAMAX for 5 1/2 years. She wants to get her teeth straightened. The periodontist has recommended a procedure to reinforce the gums prior to the braces. This has added an additional 6K to the price and about 3 months to the total time to straighten the teeth. The last thing the periodontist said to us was if we had to choose between the periodontal and orthodontist was to get the teeth straightened and if there was problem we could then address that problem.The last thing the orthodontist said to us was we should have a strong foundation to start the straightening process. We are now so confused we do not know which way to proceed. Should the periodontal work be completed prior to the braces or what???????
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Avatar universal
The prescription drug Fosamax (the generic is alendronate sodium) is a medication which has been prescribed to hundreds of thousands of postmenopausal women to treat osteoporosis and help increase bone mass thereby reducing the chance of spinal or non-spinal fractures. Fosamax has also been prescribed to increase bone mass in men with osteoporosis. Brand name Fosamax is manufactured in the United States by Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. In about 2008-2009, Fosamax became widely available in its generic form (alendronate sodium).

Side effects of Fosamax may include the following:
1. Esophagus problems including irritation, inflammation, or ulcers
2. Low blood calcium levels (hypocalcemia) which may lead to muscle spasms, twitches, or cramps as well as numbness or tingling in the face, fingers, toes, and around the mouth
3. Severe jaw bone problems (osteonecrosis of the jaw often abbreviated as “ONJ”)
4. Bone, joint, or muscle pain
5. Unusual femur (thigh bone) fractures

ABC News ran a story on May 10, 2012 about the dangers of “bone drugs” stating, “In a report published in the New England Journal of Medicine on Wednesday, the U.S. Food and Drug Administration raised concerns about the potential for some serious side effects in women taking bone-building drugs called bisphosphonates, specifically Fosamax, Actonel and Reclast. The published findings are not new. In 2011, the agency voiced concerns that taking the drugs long-term may actually make bones weaker and increase the risk of rare but serious side effects such as atypical fractures of the thigh bone, esophageal cancer and osteonecrosis of the jaw, a rare but painful condition in which the jaw bone crumbles. To investigate, the FDA reviewed data from women who had taken the drugs for six to 10 years.” Underscoring just how commonly these medications are prescribed, ABC News commented, “According to the FDA, doctors wrote more than 150 million prescriptions for bisphosphonates between 2005 and 2009.”

At the end of 2013, Merck settled with about 1,200 plaintiffs alleging that Fosamax caused them to suffer osteonecrosis of the jaw (“ONJ”). ONJ is a rare condition in which the patient suffers degeneration and deterioration of the jaw and often necessitates surgical repair with bone grafting. This recent settlement requires a total of about $27.7 million to be paid by Merck. Before anyone feels bad for Merck, he or she should also know that some researchers estimate that Merck “earned” about $3 billion (with a “b”) in 2007 from Fosamax. There are still many unsettled suits.

While alendronate sodium does have some appropriate indications, there are serious side effects which can occur. Most of the lawsuits focus on one of two harms – femur fractures or osteonecrosis of the jaw. Each is treated differently by many of the lawyers handling these cases. If someone has taken brand name Fosamax and suffered either of these harms, he or she should immediately  consult with his or her physician and then consult with an attorney who is experienced in handling such a matter.

- Paul

Paul J. Molinaro, M.D., J.D.
Attorney at Law, Physician
Avatar universal
I am a 64 yearold male andbeen on Fosamax for a number of years.  in the past two yrs I have had two unusuasl femer bone breaks left yhen right. the doctor noe caring 4 me just found this study after the red flag. Two simple "falls" two broken femers. It has been horrible. Need help bad. vic young
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