Pharmacology · single question
A patient taking IV zoledronate needs dental extractions. The appropriate management is to:
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Correct answer: A. Refer to an oral/maxillofacial surgeon for evaluation and careful management
- A. Correct. IV bisphosphonates (zoledronate) carry a meaningful MRONJ risk with extractions; referral to an oral surgeon for risk assessment, atraumatic technique, and close follow-up is appropriate.
- B. Routine immediate extraction without precautions ignores the MRONJ risk.
- C. Opioids do not address the surgical/MRONJ risk.
- D. Implant placement is contraindicated/high-risk during active IV bisphosphonate therapy.