Welcome to Connect, @hilotpilot A certain amount of care and precautions are necessary when having dental work while on medications for prevention of bone loss, such as Reclast, Fosamax and others. Treatments such as prophylaxis, restorations, crowns, bridges, nonsurgical root canal treatments and nonsurgical periodontal treatment are generally thought to be safe.

Implants, extractions or oral surgery, where the bone around the teeth are impacted, can have small potentials for osteonecrosis. If your dentist is recommending dental work that will involve the bone, it’s usually suggested to postpone elective dental surgery. There are protocols for dentists, oral surgeons, periodontists, etc., to follow to minimize any side effects.

On a positive note, osteonecrosis occurrences aren’t common and are more prone to happen with patients who are undergo chemo or certain drugs. It’s usually localized to an area and can be corrected with treatments such as medicated oral rinses, antibiotics and sometimes surgery of the impacted area.

What type of work are you having done? Collaboration between doctors is important to a positive outcome. Have you discussed this with your dentist and the physician who prescribed the Reclast?

Hello @hilotpilot - I moved your discussion and combined it with an existing discussion titled, "Dental work while on Reclast" - https://connect.mayoclinic.org/discussion/dental-work-while-on-reclast/.

@hlp123, @cat714, and @janflute all discussed Reclast and dental work in this discussion and may have some experiences to share with you.