Dental evaluation protocols from MASCC/ISOO/ASCO for patients beginning an osteoclast inhibitor based on type of dental and/or periodontal pathology

NOTE: The proper protocol should be selected by the oncologist and dentist according to the patient's medical status. Complete care is optimal dental evaluation prior to initiating osteoclast inhibitor therapy; partial care may be needed in patients for whom complete care is not possible either because of cost or medical condition; minimal care may be necessary for patients in need of prompt or emergency initiation of osteoclast inhibitor therapy secondary to rapidly progressive bone metastases or hypercalcemia requiring therapy.