Bisphosphonate drugs and their relevance to dentistry

The Dental Implant Clinic team member Elliott Ballantyne completed his MSc thesis on the use  of bisphosphonates in dentistry. He is presenting a poster on the subject at the international Osteology Conference in Monaco this April.

Bisphosphonates are a group of drugs used to treat a variety of disorders. One of the most common uses for this drug is to treat the condition of osteoporosis and osteopenia (pre-osteoporosis). They can also be given after the treatment of certain cancers such as breast cancer and prostate cancer.

There are several types of bisphosphonate:

Disodium pamidronate (Aredia)
Ibandronic acid or ibandronate (Bondronat)
Sodium clodronate (Bonefos, Clasteon, Loron)
Zoledronic acid or zoledronate (Zometa)

The bisphosponates work by targeting areas of higher bone turnover and slowing the rate of bone loss which is caused by cells in the bone called osteoclasts. The bisphosphonate drugs  are absorbed by the osteoclasts which slows down their activity and reduce bone loss. However, the slow down of bone loss caused by bisphosphonate drugs also reduces the rate of bone healing. This can sometimes be a problem if if you need to have a tooth extracted or need dental implants.

May people who are already taking bishphosphonates can still have a tooth extraction or a dental implant because it depends on the dose, type of bisphosphonate and how long you have been taking it for.

Some important points to note are:

  • Tell your dentist if you have started or about to start these drugs
  • Before taking these drugs it is best to have a thorough check up to ensure that your teeth and implants are healthy

Below is a copy of Elliot’s poster (click to enlarge – note: contains clinical imagery).


Tim and Elliott attend an advanced soft tissue skills course in Munich

Tim and Elliott with Marcus Hürzeler and Otto Zuhr
Tim and Elliott with Marcus Hürzeler and Otto Zuhr

In February Tim and Elliott spent three days on an advanced soft tissue aesthetic course in Munich.

At The Dental Implant Clinic we are constantly sourcing new techniques to offer the very best in implant dentistry techniques to our patients.

To find out more about what  dental implants can offer click here:  what dental implants can achieve.

Jonathan Schofield publishes on Implants in the Aesthetic Zone

Jonathon Schofield  has recently published an article on Implants in the Aesthetic Zone.

Click here or the page below to read the full article. Please note that this article was written for dental professionals and as such contains medical imagery.

The team at The Dental Implant Clinic regularly publishes, lectures and teaches both nationally and internationally on dental implant related matters. To find out more about dental implants, and to see some case studies from The Dental Implant Clinic, click here.

Click image to read full article
Click to read full article

New Course: Predictable outcomes in GBR and Soft Tissue Regeneration

Jonathan Schofield, principal of The Dental Implant Clinic, will present a limited attendance course on Tuesday 22nd September 2015.

Jonathan and the rest of the team at The Dental Implant Clinic regularly lecture nationally and internationally on dental implant related matters. Visit our dedicated courses site for more information on the courses we run for dental professionals.

GBR 1.1GBR 2.2
Click for a larger version.

New Information Leaflet on Gum Disease

The Dental Implant has compiled a new brochure: Gum Disease – The Facts.

Gum Disease - The FactsStrong gums are vitally important prior to the successful placement of dental implants and any other dental treatment. Our periodontal lead is Fernando Gonzalez-Eriksson, whose specialist 3-year training in Periodontics was at the world renowned Eastman Dental Institute in London. He joined The Dental Implant Clinic in 2013, and he has already treated many patients with gum disease.

Click here to download a copy or contact us to request a free printed copy.

If you have a question about gum disease or are worried about your gums then send us an online enquiry and our periodontal specialist Fernando Gonzalaez-Ericsson will answer your query.

Mrs Binks’ implants are performing well after 17 years

Jonathan Schofield, Principal at The Dental Implant Clinic, writes about reconnecting with a patient whose implants are still performing well 17 years after their placement.

I had lost contact with a Mrs Binks on whom I had placed 7 implants in in 1998.

Happy with her implants 17 years later.
Happy with her implants 17 years later.

She has subsequently moved to Inverurie in Aberdeenshire, which is 532 miles from Bath. I was recently contacted by her new dentist in Inverurie, who was asking for some details about Mrs. Binks’ implants. I was able to furnish him with the information he needed along with some information on how to maintain her dental implants.

After this Mrs. Binks kindly wrote to me as follows:

Dear Mr. Schofield,

Thank you so much for your kindness in forwarding the necessary info to the Practice in Inverurie. Up to this year I’ve been visiting Bristol fairly regularly & seeing Robert Pears, but my travelling is not so frequent now & I felt I ought to register with a dentist nearer home!

The implants have been great – thanks to you – and I trust they will remain so.

Once again, many thanks.


Nancy Binks

Professor Belser visits The Dental Implant Clinic

The team at The Dental Implant Clinic were delighted to welcome Professor Urs Belser from The University of Berne in Switzerland to a study group meeting.

Jonathan, Tim, Colin and Elliott have all spent time at The University of Berne gaining advanced dental implant training, so it was their great pleasure to host Professor Belser in Bath.

The study group concentrated on advanced dental implant issues and all who participated improved their skills and knowledge.

Urs Belser, International Lecturer, visits  The Dental Implant Clinic
Urs Belser, International Lecturer, visits The Dental Implant Clinic

New Periodontal Referral Service

The Dental Implant Clinic is keen to promote our new periodontal referral service.

This service is open for patients with gum problems to self-refer by telephone or contact us via our website using our online Request a Consultation form.

For dentists, we have made a new flyer (below) outlining our philosophy of periodontal management and how we propose to share the long-term care of these patients with you.

Click here to download a high-resolution copy of the flyer.

DIC Periodontal Flyer