Can you use bisphosphonates in a patient with osteoporosis who has had prior avascular necrosis of TMJ due to steroid use?

Would you use bisphosphonates in a patient with osteoporosis who has a history of avascular necrosis of the TMJ due to prior steroid use?

• No, a prior history of osteonecrosis is an absolute contraindication to bisphosphonate use
• Yes, bisphosphonates can be used after osteonecrosis if the benefits outweigh the risks
• I would consider an anabolic agent over bisphosphonates in a patient with severe osteoporosis and high fracture risk given the prior osteonecrosis history
• Other