my dentist said there is a test.
Yes... the CTX (C-Telopeptide) test.
Any patient who has been taking an oral bisphosphonate for greater than 3 years is recommended to have this test prior to any dental surgery, perio surgery or oral surgery.
This test measures osteoclastic activity, and if the results come back as >150 pg/ml, then it is deemed safe to proceed with extractions/oral surgery.
However many oral pathologists seem to feel that it does NOT tell much about an individual's risk of necrosis in a particular area of the body.
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- Side Effects of Alendronate (detailed)
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