← Return to Dental work while on Reclast

Discussion

Dental work while on Reclast

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

Comment receiving replies
@leejoan5525

I had the reclast last May. The oral Surgeon and the endocrinologist were supposed be in contact and I was assured that I could go ahead with the reclast and it wouldn't cause any problems with dental extractions. Then they oral surgeon said no and the plan is to pull teeth one by one as they become infected and cause pain. I just can't believe this is a valid alternative. I am sick about it, in tears just typing this comment.

Jump to this post


Replies to "I had the reclast last May. The oral Surgeon and the endocrinologist were supposed be in..."

Hi, @leejone5525. I’ve read through your posts this morning and I’m just so sad for you with what you’re going through with your oral health. I worked in the dental field as a certified dental assistant for 30+ years and with what you’re telling me, there has to be more to this story. It doesn’t make sense that an oral surgeon would wait for each one of your remaining teeth to become infected before considering a removal.
Risk of infection is what an oral surgeon would want to minimize with any extraction. So having an active infection can potentially compound the risk for improper healing. And waiting for each one in turn, instead of removing several at one time, seems highly unusual.

As you’ve probably read with some of the other posts in this discussion, there is a very slight risk of an infection (osteonecrosis) to the bone while on Reclast or other bone loss medications. That can be a reason to postpone or delay dental treatment. However, the possibility of a systemic infection with your deteriorated teeth pose more risk than the extraction process. With proper pre-extraction precautions such as oral anti-bacterial rinses and possibly prophylactic antibiotics the risk of infection with your extractions could be minimized. Did your oral surgeon give you a reason for waiting until each tooth was critical before removing? I agree with you, that would have me in tears too!

You mentioned not being able to find another oral surgeon who can help you because of insurance. Not all extractions require an oral surgeon. There are many general dentistry offices which can offer extractions along with denture replacement so that might be an option for you. You mentioned being in the Eau Claire area.
Here is the site for the Wisconsins Department of Health Services which shows the dentists who accept Medicaid. Other options if your insurance won’t cover is to set up payment plans for services.
https://www.dhs.wisconsin.gov/guide/freedental.htm.htm
Do you have a general dentist?