If your physician has diagnosed you with osteoporosis, there is a good chance you have been (or will be) prescribed bisphosphonates such as Reclast or Fosamax. There is a possibility that long term use of these drugs can make it difficult for the jaw bone to heal when a tooth is removed. If you are about to start using a bisphosphonate, it is recommended you have a dental evaluation to identify any teeth that might need to be removed now or in the future. This provides a better long term prognosis for your jaw's healing. If you have been on a bisphosphonate for some time and need a tooth removed, then you will need to consult with both your medical doctor and dentist to discern the best way to proceed. The impact of Bisphosphonates on dental care highlights the importance of disclosing your complete medical history (including any changes) during a check up or examination.