Medical History Update for Oral Surgery

Medical History Update for Oral Surgery

Bleeding Issues
Medication:  Coumadin   Plavix   Pradaxa Xarelto Eliquis  Aspirin  Antineoplastics     any blood thinners including garlic
Diseases:    Liver diseases
Conditions:  Clotting issues
Healing Issues
Smoker?          Dry Mouth?         Birth control?
Diseases:     Diabetes      Renal Disease     COPD     Congestive heart failure     HIV
History of:  Multiple myeloma, Bone metastasist, osteoporosis, radiation therapy in head or neck, chemotherapy.
Bisphosphates? taken for osteoporosis, Paget’s disease, multiple myeloma, hypercalcemia, and metastatic breast cancer and prostate cancer

  • Aldendronate (Fosamax, Alendro)
  • Risedronate (Actonel)
  • Ibandronate (Boniva)
  • Atelvia Skelid (tiludronate) This one OK
  • Tiludronate (Skelid) This one OK


  • Pamidronate (Aredia, Pamisol) worst
  • Zolendronic acid (Zometa, Reclast) worst
  • Ibandronate (Boniva IV)
  • Clodronate (Bonefos) This one OK


Immunosuppressive drugs? Enbrel Humira
Antiangiogenic agent? Cancer and macular degeneration like Sunitinib Bevacizumab
Pre-Med issues
Synthetic joints?
Congential heart defects?

FYI  Bisphosphonates can be classified into 2 categories: non-nitrogen containing and nitrogen containing bisphosphonates. Nitrogen-containing bisphosphonates are the only compounds that cause BP-related osteonecrosis. 1

Treatment of BP patient OS and implant

Bryan Bauer, DDS, FAGD     

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