Oral Health

A 76-year-old woman presents for evaluation of a bothersome lesion of her left buccal mucosa. She neither smokes nor drinks alcohol. The growth was first noted approximately 2 weeks ago and is frequently traumatized when chewing. Examination reveals a firm, flesh-colored, 0.5cm papule.


For denosumab-treated women with postmenopausal osteoporosis, invasive oral procedures and events, including dental implants, tooth extraction, natural tooth loss, scaling/root planning, and jaw surgery, are common and associated with osteonecrosis of the jaw.