Does anyone know if I can get dental work done before starting reclast

Hey@gently…I’ve been overwhelmed but wanted to update you, as I remain scared…despite telling fear to go away! I got the Forteo delivered to me…and I have 2 docs saying it will ruin your health ( bone cancer) and one saying ok…with no citation as to why it’s ok. I’m
concerned as I’m no dr and it ends up as me making the final decision on the basis that I’m guessing Myclast and Prolia are dangerous…I’m uneasy. It’s now over 60 days since I last took evenity…please summarize again what you know and who I might call…I’m in shreds of worry…but have to act now…fear coaches has taken over…please help..Sandy

Hey@gently…I’ve been overwhelmed but wanted to update you, as I remain scared…despite telling fear to go away! I got the Forteo delivered to me…and I have 2 docs saying it will ruin your health ( bone cancer) and one saying ok…with no citation as to why it’s ok. I’m
concerned as I’m no dr and it ends up as me making the final decision on the basis that I’m guessing Myclast and Prolia are dangerous…I’m uneasy. It’s now over 60 days since I last took evenity…please summarize again what you know and who I might call…I’m in shreds of worry…but have to act now…fear coaches has taken over…please help..Sandy

I was on Tymlos and followed with Reclast. Before starting Reclast my endo required me to consult with my dentist.

My dentist said he would be OK as long as the jaw was not affected. The problem would be that it took about 6 months for the bone to fully heal. If something like that came up after I was on Reclast he would probably send me to a bone surgeon who could evaluate my
status at the time.

Although it does not surprise me that dentists are reluctant to discuss Reclast vs Prolia. Hopefully your dentist can answer your specific question and whether 2 months is sufficient recovery time.

sando, I haven't heard of anyone taking Forteo after Evenity. And can't find anyone advising that sequence. Looking at the loss charts and the mechanisms of action, Forteo after Evenity seems most sensible to me.
Your surgeon may prescribe Forteo during your treatment. Which would protect your jaw and help secure your partials.
Your request is sane and she probably won't like it. You might present it in terms of advancing jaw healing during surgery. You may have better luck with the surgeon.
While it is important to follow up Evenity with something, it seems mistaken to follow an antiresporptive with an antiresorptive, even granting that they work in different ways.
looking at charts of bone loss after Evenity, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6877701/ figure 3 column 1 indicates the percentge of loss in months if taking nothing after Eventiy https://www.ncbi.nlm.nih.gov/core/lw/2.0/html/tileshop_pmc/tileshop_pmc_inline.html?title=Click%20on%20image%20to%20zoom&p=PMC3&id=6877701_198_2019_5146_Fig3_HTML.jpg
There were 46 women who took Forteo after Evenity, but those results weren't included in the study.
I consider your best bet to ask for several months of Forteo during surgery. I would ask both the unhappy physician and the surgeon. Then proceed with the surgery at a comfortable pace with or without Forteo.
In this study the women who took nothing for a year after Evenity and then had a second dose of Evenity had better results than those following with Prolia. Curiously.
I'm afraid this is tooo much information. And not so very helpful or supportive of your quest. But I also think you 'll be safe during treatment. I'd love to see your bone markers during this time. Maybe you should request them prior and then monthly during treatment to acertain whether you need to pause treatment. And so I could look at them. Bless your quest with luck.