bifosfonatos

Bifosfonatos – há um remédio proibido para quem tem implantes!

 

Bifosfonatos são medicamentos para tratamento da osteoporose. Impedem a reabsorção do osso paralisando a doença. Mas para os ossos maxilares, há um efeito adverso especialmente importante para quem tem implantes dentários.

Fazem parte dos bifosfonatos princípios ativos como alendronato, risendronato, ibandronato, ácido zoledrônico… na dúvida, dê uma espiada em seus medicamentos. Entenda o por quê esses medicamentos são proibidos:

OS OSSOS MAXILARES RECEBEM MUITA CARGA MASTIGATÓRIA. É uma região única do corpo, sujeita a muita força, com ossos delicados. Podem sofrer microtrincas pelo esforço e forças de torção nos ossos durante a mastigação. Essas microtrincas são continuamente reparadas pelo corpo.

BIFOSFONATOS PARALIZAM A REABSORÇÃO ÓSSEA. Células chamadas osteoclastos são paralisados, e assim, não há mais perda óssea. Mas o conserto dessas microtrincas se chama remodelação. Assim como uma reforma, um pouco do osso velho precisa ser removido para que se coloque um osso novo. Se um não funciona, o outro também não funciona!

O QUE PODE ACONTECER? De trinca em trinca, um pedacinho de osso poderá perder completamente a nutrição e sofrer necrose. Geralmente este pedaço está próximo ao implante pelo esforço recebido e pode acontecer do implante sair com osso e tudo.

E SE EU JÁ TOMO BIFOSFONATOS? Converse com o seu médico e explique a situação. Há outras alternativas de tratamento. Acompanhamento dos níveis de vitamina D, controle de outros minerais como vitamina K e magnésio, atividade física de impacto e alimentação adequada e variada também são muito importantes. Avise seu dentista caso precise extrair algum dente e corrija próteses que machucam.

COMO PREVENIR. Nada melhor que um estilo de vida saudável incluindo banhos de sol entre 10 a 14h. Dez minutinhos diários já trarão grande melhora nos níveis de vitamina D, importantíssimos para saúde dos ossos. Níveis baixos de hormônios pós menopausa ou em andropausa também deveriam ser investigados e acompanhados por um profissional de saúde. E boca cuidada e saudável, sem cárie, sem gengivite, são caminhos para prevenção de muito mais problemas!

Saiba mais sobre implantes dentários e saúde bucal em www.cristinamiura.com.br

 

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Dra. Cristina Miura

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