Oral Surgery · single question
A patient on bisphosphonate therapy has a failing molar. Most appropriate treatment?
Show answer and explanation
Correct answer: A. Root canal, crown lengthening, and crown
For bisphosphonate patients, tooth preservation (root canal + crown) is strongly preferred over extraction to avoid MRONJ risk.
- A. ✅ CORRECT – Root canal + crown preserves the tooth and avoids MRONJ risk from extraction.
- B. ❌ Implant in bisphosphonate patients has high MRONJ risk and is generally contraindicated.
- C. ❌ No treatment for a failing tooth is not appropriate.
- D. ❌ Extraction is highest-risk for MRONJ; avoid when possible.