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Dental work while on Reclast

Osteoporosis & Bone Health | Last Active: Oct 22 7:01am | Replies (161)

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@hlp123

Dear Lori,
You are amazing ! I did not know about the health challenges that you have faced. I am so glad that you survived and recovered from Leukemia and a bone marrow transplant. What an incredible health journey you have been dealing with. I did call the oral surgeon this morning (Tuesday), and found out that he is on vacation. I remember that I had to postpone making the appointments with the surgeon and the dentist back in March, because they both were taking their vacations in May-June, and I needed to coordinate the two back to back.
As a result the office manager said she would relay my message and call me by Friday with the doctor's decision. I find this less than optimal because I wanted to talk with the doctor myself. Especially with the perfect outline you provided, and this way I really have no control over what the manager will tell him. She was very vague about exactly when doctor would be back in the office and just kept repeating that I should not expect an answer before Friday. I normally try to avoid making Monday or Friday apts. with any of my doctors because I like to have the opportunity to discuss any questions before and or after the apts. I am tempted to call the office on Thursday and ask if I can talk with the doctor. He just might be back by then. I don't know. She was very firm and said she would handle it. It is such a comfort to me to know whatever happens I have you to guide me through it all. One of my precious grandson's told me on Sunday that when he had his teeth extracted to make room for incoming teeth, the dentist told him to drink pineapple juice for days before and after the extraction and that it was wonderful for preventing swelling of the gums ! Have you heard of this ? I hope your weather is warming up and that you are well. I really appreciate your guidance. As soon as I read your replies I become more calm. Thank you, Many Hugs !

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Replies to "Dear Lori, You are amazing ! I did not know about the health challenges that you..."

Mornin’ Holly. Yep, I’ve had my own medical adventure with a bone marrow transplant from a donor. I’m now a Chimera with 2 sets of DNA. Although my husband prefers the definition from Greek mythology that I’m a fire-breathing female monster with a lion's head, a goat's body and a serpent’s tail. 😂

It’s good that you called the oral surgeon’s office to let them know about your shingles episode. I’m not sure calling again would get you a response any faster than Friday, as the office manager stated. When our doctors came back from vacation, that first day back was hectic. It was a day of catchup on paper work and messages and prepping for cases. Your doctor may not even be back in the office before Friday.
Certainly if you’re concerned you can call and ask to speak with their assistant and give the list of questions. That way your doctor will be prepared to answer at your appointment. But from my perspective on your upcoming procedure, I’m comfortable that this will be a relatively “straightforward, no surprises” extraction of those 4 remaining front teeth and the placement of your denture. This isn’t a complex oral surgery and the risk for infection is very low. There shouldn’t be excess bleeding or much discomfort.

When you get to your appointment and hand over the denture to the assistant, that will be a good time to ask “ Will this be disinfected first?”
The numbing will be routine with using a topical anesthetic first to numb the tissue. Then the area around each tooth will be injected with the anesthetic just as you’ve had in the past.
If these teeth are already loose because of lack of bone structure, they should slip out easily. Anterior teeth seldom pose an issue with extraction.
You’ll have some gauze placed for a few minutes to stop any bleeding. Then the doctor will removed the gauze, wet the denture and place it in your mouth. Ask to sit up for that so you don’t feel gaggy with this new feeling in your mouth.
It should fit relatively well. Keeping in mind this isn’t the final fit for this denture.
There will be tissue modifications over the course of weeks. So you’ll most likely need adhesive after the tissue heals. Then your general dentist will help to ensure the fit for the future. Over time, there may need to be occasional relining of the denture.

Ah, your grandson or his dentist has been watching TikTok videos…there’s a lot of hype going around about drinking 64 oz of pineapple juice starting days before having wisdom teeth out. While pineapple does have anti-inflammatory properties there isn’t any proof that this has an impact on the extractions. What it can do is mess with blood sugar for anyone with diabetes and can cause some gastric issues for others.
Honestly, Holly, at this point I’d not rock the boat with any abrupt changes to diet or supplements. Stay the course. You’re very close to the finish line for your new smile!

Enjoy the warmer weather heading your way! We’re not too far apart as the crow flies! 🐦‍⬛
Just try to relax, my friend. I seldom have anxiety about anything so let me reach through cyberspace to put my hand on your wrist. My daughter says I have magical calming powers. Tee Hee, maybe it’s because I’m a fire-breathing female monster with a lion's head, a goat's body and a serpent’s tail. 😂