The jaw necrosis does actually happen although I think the percentage of cases is still fairly small. He does check patients for jaw issues but it is not his main concern.
His main concern is that the drugs inhibit the bones natural bone building process so people on those drugs don't make new bone. He sees this when he does extractions on patients. He said he doesn't like having to do an extraction when the patient is on them because there is rarely new bone growth and the site of the extraction does not heal well. So he applies this to what it is doing or NOT doing to help the bones in the rest of a patients body.
Since the purpose of those drugs is to inhibit more bone loss he says it also interrupts the natural process of your body breaking down bone to build new bone. So in a sedentary patient not doing much to build new bone or has high risk fracture it may be ok. But he was thinking of my case where I don't have high risk of fracture yet and I do a lot of weight bearing exercise and take supplements. So he thinks me taking that drug would counteract all of the good things I do. And why so many people on those drugs show no increased bone mass and some lose mass.
Post Edited (cupcakespinkgal) : 8/28/2016 7:16:52 AM (GMT-6)