Reclast and Teeth-Cleaning Appointments

I'm getting ready to have my first Reclast infusion as well. I asked my dentist whether or not he ever had any issues with patients on Reclast and he said he did not. That made me feel more comfortable about having cleanings.

I just had my second annual Reclast infusion last week and I’m glad I read your post before I ever have another. I had totally forgotten that Reclast had the dental side effect so I will make sure to read up on that issue before any future infusions. Thanks!

I had a gum abscess and I still have sensitivity in that area and my endodontist recommended a gum graft . I am on Evenity. I talked to to the Evenity hotline number and of course it was given back to talk to my MD. Has anyone had any gum issues while on Evenity ?

I am getting ready to have my first Reclast infusion. What side effects did you experience?

I had positive experiences with Reclast. I had five infusions (2011-15) for the first round of meds. After that, from what I can put together, I've had two or three additional infusions. It is now known that the drug remains in the body for quite some time and an annual dose isn't always required. I have been on a drug holiday since 2021.

I always drank 1/2 liter of water before the treatment, and another one after. For the first dose, I went to an infusion center associated with a hospital. The nurses were very kind and considerate - they gave me orange juice, water, granola bars, a television, blanket and a comfy recliner chair :). The nurse also suggested a Tylenol prior to the infusion as a prophylactic which I chose to forego.

My plan is to go back to Reclast after my last dose of Evenity in July, mostly because of the positive experience in the past. So, I guess the short answer is "no side effects". I also like the fact that it's once a year and out of mind. Hope this helps.

I keep seeing people mentioning Tylenol. The one and only time I took it, a placebo would have accomplished as much. Why Tylenol as opposed to aspirin; something that works for me?

It really does help to hear that you have had a positive experience. I normally don't have reactions to drugs but I am very nervous about having an infusion. I'm so happy to hear about a positive experience.

Wish I had an answer for that. I always defer to asking a healthcare provider if there would be any reason why aspirin wouldn’t suffice; I didn’t need to take a fever reducer/pain reliever. But kickin’ it old school with aspirin could be just as effective.

After taking Anastrozole for only 7 months I have lost 2 (two) teeth after a routine dental cleaning. The #4 tooth on the upper right side split well below the gum line and had to be removed by an oral surgeon on December 13th. I am now well into a dental implant, but I was only able to have it at all because I did not take any biophosphanates (even though I was prescribed one by my endocrinologist, I didn't take it.) I asked for the best oral surgeon (and dentist) in town (Austin, Tx) and the oral surgeon okayed going ahead with the dental implant, as long as I had not had any of the "treatments" for osteoporosis (I am currently borderline at -2.2T). I go back on April 23rd for the "twist test" which will determine if the tooth cavity is healed enough to go forward. Otherwise, I'm completely frightened of any routine cleanings from here on out, given what has happened to me after the November 16, 2023 cleaning, which led to the #4 tooth checking out, just like the next-to-last molar on the bottom left did earlier. (That time, I had to declare myself a "dental emergency" because of the huge abcess that formed and had a root canal and it happened during the pandemic, so it was pretty grim.) I don't know whether the first tooth can be blamed on Anastrozole, but my old amalgam fillings that have weakened my enamel certainly deserve some of the blame and my age (78) is a factor.

This, by the way, beginning with the endodontist, the 2 "normal" dental appointments (one that started this mess and one that told me the #4 tooth was split), the oral surgeon, and the new dentist who is going to install the dental implant, when the cavity is ready, is tres cher. I paid $6,000 to the oral surgeon's office and my insurance brought it down to $5,000 and I'm going to owe the dentist who follows up another $5 grand, as he also has to put a crown on the #3 tooth and fix a cavity under an old filling on the #5 tooth. And I lucked out in NOT needing a root canal from the endotontist, because that would be been another $2,600 I was told.
So, $10,000 down the tubes for a complete "remodeling" of my upper right teeth and I have a bad feeling that this is going to keep happening over and over.