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Dental work while on Reclast

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

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@loribmt

Hi Isabelle, Partial dentures can be a great replacement option for missing teeth. If your husband has decayed teeth that can be saved, all’s the better. However, should he need them removed a partial is one of several alternatives for replacement of teeth. His dentist can go over the different possibilities with your husband. It’s always better to hang onto natural teeth when possible.
As a dental professional one of the things I do need to toss out here is the prevalence of oral cancer among chewing tobacco users. I know your husband won’t like to hear that but I’d be remiss if I didn’t mention the impact it can have on his overall health, besides his mouth. 😉

Has it been recommended that your husband start osteoporosis meds? Do you think he’ll lose the decayed teeth or could they be restored by having the decay removed and replaced with resin fillings or crowns?

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Replies to "Hi Isabelle, Partial dentures can be a great replacement option for missing teeth. If your husband..."

@loribmt

Partial dentures is definitely something to think about. Hopefully they can be saved but if not it's nice to know there are options. He's going to the dentist in early July so we'll finally have an idea of where he stands and what the issues are. He has stopped chewing tobacco months ago which is a positive.

Yes. After I questioned a compression fracture that was noted in Feb 2024 that wasn't there in May 2023, the doctor said we should do a bone scan. We had that done which is when we learned that he has osteoporosis - which came as a shock to us since no one ever told us there was a chance that, on the high doses of prednisone he's been on for over a year, the chances were high he'd get it. They should have offered a drug once he was on high dose prednisone for 3 months. That ship has sailed so we now have to figure out what's best. At the moment, I'm leaning toward Forteo or Tymlus as a beginning drug followed by Reclast. Not sure about Evenity or where/when that would come into the picture. All of this is so new to us and I'm doing research and reading here when I can. I really appreciate all the knowledge that's available on this site. It has helped us tremendously as we've navigated through PMR, GCA and now osteoporosis. With a guy who has been healthy all his life.

I'm not sure if he'll lose the decayed teeth - we'll finally get our answers once he goes to his appointment in July. I've begged him to take care of this since 2007. Now he's kind of being forced to at least figure out where we stand before starting osteoporosis meds.