The varcella zoster virus is responsible for the chickenpox infection and may remain dormant in the body for years. If the virus is activated, herpes zoster; more commonly known as shingles, will infect the person causing " painful blisters that erupt along the sensory nerves usually on one side of the body or face," according to co-author of the study M.A. Pogrel, DDS, MD, adding "It can be a debilitating disease that can lead to osteonecrosis of the jaw and vision loss in addition to a prolonged painful syndrome." Osteonecrosis is a condition that causes the bone in the upper and lower jaws to become exposed. The Academy notes that the jaw bone suffers severe damage and/or death, eventually leading to tooth loss, but is clear in revealing that the exact reason for tooth loss is unknown, although it has been noted that restricted blood flow and inflammation may be a cause.
If you are at risk for osteonecrosis, AGD spokesperson Laura Murcko, DMD, recommends regular dental visits because "Your dentist can help detect early signs of osteonecrosis of the jaw by checking for loose teeth, detached gums as well as taking dental x-rays." Along with proper brushing and flossing, Dr. Murcko recommends that patients consume 1,000 to 1,200 milligrams of calcium a day, add vitamin D to their diet, exercise and weight train, quit smoking and decrease caffeine and alcohol intake.

Shingles is a nasty thing, especially when it involves delicate areas such as the face.
I’ve heard of blindness caused by Shingles, but never osteonecrosis. Is it related to bisphoshanate usage or a direct complication of a shingles outbreak on the lower branch of the Trigeminal?
My spellchecker isn’t liking those big medical terms I’m throwing around.
The vaccine for Chicken Pox will help eliminate risk of shingles in the future. It’s also recommended for people over 60 to reduce the risk of developing shingles.
Joe Bulger DDS
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Shawn, visiting your dentist to check for osteonecrosis? I can only see doing that if you’re at high risk. That being someone who has has IV administered bisphosphonates.
Joe
My mother has developed osteonecrosis of the jaw after years on Fossamax and high doses of prednisone, administered orally and through epidurals for chronic nerve pain. She’s never received chemotherapy. Please be aware of that combination for increasing the risk for patients.