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← Return to Dental work while on Reclast
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Hi Lori, I’m
Most concerned about the timing. The last shot was May 20, and I asked my endo if there was a way to pause to get my teeth fixed( pulled and maybe, if time, some partials put in. She said I’m more concerned that you don’t lose what you have gained. I said I read ( on this blog but didn’t mention which one) that I should be able to wait 2 months and maybe 2 more weeks to get my teeth pulled and something like partials put in. She said to consider my life or Evenity might not let you get back on…if they ever extend it. Frankly I didn’t understand what she is saying, as there were no solutions she had and it sounded more threatening than doctoring. I didn’t write back yet but found an oral surgeon today that will see me tomorrow. The oral surgeons know a little about bisphosphonates, but not enough to guide anyone. I have a new acquired auto immune issue called MMP and this creates gum and teeth problems …I likely had it a year before diagnosing was done. This is rare and they did not study bisphosphonates—-mainly they speak to treatment to assist in stabilizing this Mucous membrane Pembigoid so everyone is a specialist in that area. Yes, I know. All that can be provided are personal experiences and that does help. Do you agree with the timing of 1-2 months until I must start something ? Reclast a is bisphosphonate & the endo recommends it and it’s one injection for the year. I asked what if I’m allergic? The reply was it’s not likely….yeah but what IF…wasn’t answered. By the way two docs told me Evenity wasn’t a bisphosphonate but that’s not my immediate concern as I’m done with it… so I’m more concerned now about how to handle this transition time and if there’s not enough time …is there another treatment like Evinity that will hold the progress made? I would like to know if anyone else is stuck by needing time for dental work…and what other treatment could I ask to be on for a month or so…or more ? I wondered about Forteo? ( the doc wants a strict following of the time …but no dental delays )
Thanks.
Replies to "Hi Lori, I’m Most concerned about the timing. The last shot was May 20, and I..."
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Oh gosh, @sando, I wish I could be of more help to you. But the questions you’re asking about delaying your Evenity for dental treatment and if you can start Reclast are really out of my depth of knowledge. I did some research this morning and there are some Osteo drugs that are in a different class and are not bisphosphonates. No delay for dental treatment was noted for Raloxifene (Evista), SQ Teriparatide (Forteo®) ,
or SQ Abaloparatide (Tymlos®) or denosumab (Prolia®).
I didn’t see Evenity listed but since it’s not a bisphosphonate it may fall into the class where a holiday from the medication isn’t necessary for the proceeding with your dental work.
Two articles where I gathered the information:
National Institute of Health
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875544/
Journal of American Dental Association
https://jada.ada.org/article/S0002-8177(14)60749-2/fulltext
The other situation is with your MMP. (Mucous Membrane Pemphigoid). Since this can cause issues with your mucosal lining of your mouth, I wonder if that would interfere with having a partial denture.
I know there are other members in the osteoporosis group who have changed from Evenity to Reclast so I hope they pop into the conversation and can give you more guidance as to how that switch worked for them.
In the meantime for your dental work, talking with the oral surgeon (OS) tomorrow should get you some better answers as to what your treatment options are. Make sure you talk about the MMP and if you have anything you can think of that causes flareups. Since you’re already post-Evenity, now would be the time get your dental work taken care of.
You don’t want to lose ground with the bone loss though so I can understand your doctor’s hesitancy in delaying the start with Reclast. So find out what your OS suggests and talk this over with your prescribing physician as well (whomever prescribed the osteo drugs) to get a firm decision.
With your MMP, what types of symptoms are you experiencing in your mouth?