Yes you hit the nail on the head I am in a catch 22 because I already have had symptoms of osteonecrosis of the jaw during my dental implant procedure. I had to have the implants removed two weeks later because some bone was erupting through the gum line. I also have elevated parathyroid activity in my last blood work done a month ago so they are suspicious of something else going on with me. I have never had a broken bone in my life and I have fallen many times since I've been on Prolia and before that. I am 70 years old and I'm wondering if my dexa scans could improve even just a little if I could just go off Prolia cold turkey because the alternatives are not promising given the jaw issues and the parathyroid issues. I am in a quandary and now will probably be involving three different doctors well one is a nurse practitioner, the one that administers the Prolia. I guess I can stay on Prolia and look for that window of 5 months out from my last shot, where you can supposedly safely have dental work?