There are 5 messages totalling 896 lines in this issue.

Topics of the day:
1. Biphosphonates
2. Kevin's School Flyer
3. Re: Digital Camera
4. AAO dispute
5. Bisphosphonates

Yes, Charlie...they shut down the osteoclasts (or at least slow them quite a bit) At her age, even *without* the medication, it would be slow going. Good luck!

Paul M Thomas

To Kevin re you school flyer

I think that last statement is not necessary, notwithstanding capitulation.  Your flyer is already quite defensive about parents' distrust of early referral and you answer that doubt quite adequately.  The AAO statement at the end does not help your argument.

Barry Raphael

drbarry@alignmine.com

Hi Bret, Could you post some photos with the camera? Thanks Robert Rudman Denver,CO

Kevin,

I think you are right on the mark. If we stand a chance of our organization standing behind the rhetoric of evidence based treatment recommendations the AAO should not only agree with you but should adopt your handout as written.  I personally would love to use it in my practice if you would not have any objections.

We have our state meeting next week and I would be happy to bring it up to get our state organization support if you would like.

Dave Paquette

Don't expect the teeth to move and there is a high incidence of osteonecrosis of the jaws. Just had a dental society lecture last week by one of the authors of an article in the Annals of Internal Medicine.  Soo, Helstein and Kalmar “Systemic Review: Bisphosphonates and Osteonecrosis of the Jaws.” Annals of Internal Medicine 2006;144:753-761   Kalmar mentioned that there was a long half life to the medication as well, 5+ years. Oral medication is bad news and IV therapy (generally for CA) is much worse. I would advise checking with an Oral Pathologist and her physician before proceeding.

Ronald G. Heiber, DDS , MS

Central Ohio Orthodontics

1011 East Fair Avenue

Lancaster , OH 43130-2700