A patient on bisphosphonates comes in for a checkup; the plan involves extracting some teeth and making a prosthesis. What is the best management?

Current best-practice guidance for most bisphosphonate patients (especially those on standard oral osteoporosis doses) emphasizes being as conservative as possible — extracting only the teeth that truly need to come out, rather than extracting unnecessarily (which needlessly increases the number of surgical sites and MRONJ risk) — while still proceeding with needed care, since unnecessary delay/over-referral isn't usually required for lower-risk patients.