My story is long and if you would like more details, let me know. In brief I had been on Prolia 5 years. August 2024 an old root canal became infected, my dentist referred me to a Periodontist. I told him I was on Prolia and would not have an implant unless my Rheumatologist approved the procedure. She agreed and I went forward with the extraction and implant. Without much direction from either my Rheumatologist or Periodontist I waited to have my Prolia injection for 3 months, a mistake. The day I was scheduled for my delayed Prolia injection I ended up in urgent care with L-1 and L-3 fractures. I went ahead and had the injection, healed fairly quickly and I'm doing well with physical therapy, core strengthening and I never had issues with my jaw. In hindsight...
My thoughts: go to an oral surgeon or periodontist that understands the risks of Prolia and dental work and will share their knowledge. Talk with your doctor (Endo or Rheumatologist) regarding the procedure. Preventing infection post-surgery is detrimental, I never had any problems. I have since read on this blog that there are recommendations as to when to have dental work if on Prolia, talk to your doctors. I was more afraid of the possibility of necrosis, the Prolia "holiday" for me, should have been a much greater fear. I am sharing with you not to scare you but to encourage you to talk with doctors you trust. Take good care!