Has anyone with Osteoporosis had resorpsion of teeth?
I just went to the dentist and found that I have 2 more teeth with starting resorption. I have had 2 others in the past, one that was replaced by an implant. I wonder if this is the same process that occurs with Osteoporosis. I have Osteoporosis and have broken 5 bones in 18 months. I took a half dose of Tymlos for 10 months and now have been on Forteo for about a month. The dentist thought that these new resorpsions were quite recent. Could these anabolics be responsible? Or is it because I have cut back on my calcium supplements due to having too much calcium in my urine?
My CTX has been consistently higher than my P1NP. Most recent results were CTX 1200 and P1NP 190. This ratio is similar to when I started meds, which was CTX 519 and P1NP 78. One Endo has prescribed Evista in combination with Forteo. I have not started it yet. I take Levothyroxine for hypothyroidism and from what I've read it is contracted by Evista. This endo has also suggested Strontium. My dentist didn't seem to know anything about Strontium.
Having the new teeth resorpsions makes me even more worried about my Osteoporosis. Even though I hate taking medication and try to be as natural as possible, I am now considering the Evista and Strontium in case it may make my teeth and bones stronger.
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Two of my resorptive teeth were identified on a routine bite wing x-ray. I went to a endodontist to see what if anything could be done. He said nothing could be done for those teeth. They’d likely crumble if he tried to do a root canal. He found a neighboring third tooth in its early stages, but only on a full mouth CT, so it didn’t show up on the bite wing. He did do a root canal on that and thinks the fix will be permanent. The endo advised me to have those other two out now, but the dentist says I can wait and watch, as long as there isn’t any exterior sore around the outside of the tooth that could become infected. My resorption is all interior. Hard to know what to do, but hard to have teeth pulled that don’t hurt!
Thanks for sharing Gloria. My resorptions are also internal. I don't think I would have a tooth pulled if it didn't hurt. I am having trouble considering even a root canal when my teeth don't hurt. My dentist said to wait until they hurt, but that may mean I might lose those teeth. I suppose I might any way. My husband just had a root canal and it cost $1700, plus they hurt. It sounds like the endodontist did help you.
Gloria,
I am so sorry that I didn't see that I should have responded above the
line. I shouldn't have tried to respond to you before I was fully awake.
Your post was very helpful.
Thanks,
Sue
I had root resorption in my lower front teeth. Dentist told me the cause of this is not known, but it is thought that past orthodontic treat or minor injuries as a child, might cause it. I think mine were probably caused by long term orthodontic treatment, a gum graft in that area as a young adult, and severe gum recession. I don't believe the idea of the minor injuries as a child causing root resorption later in life - that sounds ridiculous to me. I had my bottom 4 front teeth removed due to root resorption, and two implants placed with an implant bridge between the two implants. The dentist explained that the resorption is caused when the cells in the tooth root that usually clear out dead cells and other cellular debris begin to attack and destroy the normal root cells. The root is destroyed from the inside, and the tooth enamel thins and becomes brittle, and the tooth will eventually break off. It may be more of an autoimmune condition. This doesn't seem like it would be related to osteoporosis. Also, anytime you do not have teeth rooted in the jaw bone, you will naturally have bone loss in the jaw. My jaw bone should stay strong around the implants, but I will naturally have bone loss under the bridge.
Hi - I was going to leave mine alone and just watch them until the endodontist explained that they could break off at the gum line and showed me the x-ray of one of mine about to do just that. I decided just to do it and get it over with. It really was a hard decision, I agree!
I had three Reclast infusions for osteoporosis. Recently, two years after my third Reclast infusion, I had root canals on my 2 bottom middle teeth b/c of resorption. I'm not sure if the resorption is connected to Reclast, bad luck, my overbite, or from RA, which is a recent diagnosis. Not fun! And expensive! I wish you the best.
I had a friend who experienced just that. Waited until the tooth broke off, which then required a more difficult extraction. Such a conundrum.
I am wondering what I should do about my 2 new tooth root resorptions. They just barely showed up on the xray. I called the dentist a few days after he discovered. I asked if I should be proactive and see an endodontist. He said he wanted to just watch it. It sounds like they could break off if nothing is done.
@theodorastronger, Did the root canals save your teeth. Did you need to have crowns or implants?
In my case, the endodontist told me he could do the root canals, but they would probably not help and would be very expensive. I appreciated his honesty!