Thanks for asking your important question! Doctors and dentists have a variety of perspectives on this issue. While experts agree the risk of osteonecrosis of the jaw is minimal for patients taking Fosamax, there are a few schools of thought on how to handle the issue, and it also depends on the individual situation, such as the severity of the osteoporosis for which you take Fosamax. First off, and I'm sure you know this, please don't start or stop any medicine without checking with your doctor first. However, perhaps these ideas will be helpful as you discuss with your doctor how to proceed in your particular case. Specifically, some physicians think it is best do as you mentioned, which is to stop the oral bisphosphonate several months before the procedure, and then resume it after the mouth has fully healed. However, others believe there is no point to doing that, because the effects of the Fosamax may linger in your system even longer than those three months, because the risk of the Fosamax causing a problem is very small anyhow, and because the risk of suffering a fracture without the Fosamax might be greater than the possibility of osteonecrosis of the jaw, expecially if you have severe osteoporosis according to your DXA scan. So while it is impossible to make a one-size-fits-all recommendation for this type of situation, hopefully you can highlight some of these factors when your discuss -- with both your doctor and dentist/oral surgeon -- how best to proceed. Good luck!