Oral Bisphosphonates

Dr. Jeffries asks us:

I’m trying to get a barometer on the
prevailing opinion for dental implant placement on patients taking oral
bisphosphonates (Fosamax, Actonel, etc.)

I’ve placed them in a number of these
patients and have seen no problems, nor have I seen any published reports of
osteonecrosis associated with dental implant placement in these
patients.

What are some other surgeons’ philosophy when it comes to this
controversial topic?