Reclast and Teeth-Cleaning Appointments

Thank you for the info - I have an infected root canal that occurred after starting Evenity but didn’t connect the dots. Still thinking it could be coincidental, but who knows? ONJ scares the hell out of me so I am very careful. Oddly, my rheumatologist knows about the infection but never suggested Evenity as, pardon the pun, the root cause.

I am most worried about jaw problems as you just never know if you will need dental procedures although my doc did say crowns, root canals shouldn't be a problem. I have also heard from others on this site that Forteo should be first line of defense not Fosamax or Reclast? Have you or your hubby hear this? Anyone?xoxo

Thank you for all your input . I talked to the endodontist and she feels comfortable with this procedure . I am worried that if I don’t go forward in having this done I am truly risking my chances of ONJ . The abscess healed but when I press on the area it’s sensitive to the touch and I am afraid of the abscess coming back or this is creating further damage . I also talked to my endocrinologist and she is going to talk with her. This does not involve any bone issues . My CTX & P1NP numbers are good at this time also . This whole situation is so stressful 😣

kristie2, the percentage among people reporting adverse event with the FDA is low (6.4 on Evenity reported ONJ symptoms). I sounds as though you need to proceed. I think I would abandon worry in your case and trust the provider. You don't even have to watch carefully; your body will warn you if a problem begins. You don't need that much luck, but I'm wishing you tons of it.

Thanks, but endo says can’t do anything but Reclast due to having previous radiation to spinal bones for MGUS. If it’s not one thing, it’s another. We’ll see how it goes.
Wishing you the best!

I went in for my gum graft and she found that I have reabsorption of that tooth . She said it looks like my tooth was scooped out at the bottom . She clean the pocket and stitched the gum on either side of the tooth . No gum graft done . She is getting advice on how to proceed. Root canal if tooth can be saved or tooth will need to be pulled .

Did you address the infected root canal and if you did were there any problems?

I consulted with my rheumatologist, a periodontist and two endodontists before finding a solution. To make a long story short, the second endo proposed a treatment of pulpal debridement (cleaning out the infection) and packing the root with, if I remember correctly, calcium hydroxide which will last for about four weeks. (It was important that the root had not fractured which would’ve made the root canal a moot point.) After that, I will have a consult to see if the infection has cleared, excuse me, I will see THAT the infection has cleared and he will finish the root canal and avoid the extraction. He also said that wasn’t the only way to avoid an extraction and will work with me to save the tooth. It may be cheaper to go this route rather than an extraction and implant. I’ll let y’all know in about 3 weeks. Cheers!

Thanks . I don’t know what my next step is going to be . It maybe a root canal if tooth can be saved . I have resorption of a tooth. My periodontist went to do a gum graft and in the process noticed more was going on . It’s all so stressful.

I, too need gum grafting in two places due to recession. I don’t think they’ll be a big deal, based on the periodontist’s report. I don’t know what resorption of a tooth is exactly, but from a quick online look, a root canal might fix it. I understand the stress and I’m sorry you’re going through this. Fingers crossed as you work to resolve this issue. Cheers!