I started treating for osteoporosis after breast cancer and took and taking anti-estrogen. I took Fosamax and Reclast.
All Bisphophonates put you at risk for osteonecrosis of the jaw with certain dental procedures as you may know. But once you have intravenous Reclast dental surgeons advise against pulling teeth because of this risk. So when teeth needed pulling or perhaps have an implant I could not do so. One tooth had 5 root canals, so I would not have to pull it, After that the tooth cut off to avoid extraction. Fortunately, it is in the back. I wanted to have some teeth pulled to have implants many years later, but still was advised against that because of the previous Reclast. Read American Dental Association guidelines for how to deal with patients on Bisphosphonates.