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@mayblin

As you know, after many years' treatment of prolia, AFF or ONJ could occur although incidences are very rare. You don't have either but if you are planning major dental work while dealing prolia withdrawal at the same time, you most certainly need a bisphosphonate to deal with the potential rebound effect from prolia withdrawal (to prevent potential VCFs); also likely you'd need either tymlos or forteo to help building/healing of jaw bones from oral graphs.

Here is a previous thread in which many members discussed a similar case of prolia withdrawal with the presence of AFF:
https://connect.mayoclinic.org/discussion/the-doctors-reply-after-prolia-aff-and-now-recommends-forteo/
Wish you the best!

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Replies to "As you know, after many years' treatment of prolia, AFF or ONJ could occur although incidences..."

Thank you very much for your input and your prompt response. I probably didn't clarify in my original post that my dental implants failed and the oral surgeon indicated that I had the beginnings of ONJ. It is been about 3 weeks and my gums are healing, but the back tooth adjacent to the missing teeth and the gum area that was affected is slightly sore so we are watching it. My bone health specialist indicated because of potential onj risks, I could not have reclast which is what I would prefer, as the Envista option sounds like it has potentially dangerous side effects. If that is my only option, I guess I will have to go that route and hope for the best.