Codythedog, even without seeing your numbers, I'd suggest Tymlos or Forteo. Neither of these medications complicates dental issues. They do build the most resilient bone.
There are few medications for osteoporosis. It seems like there are many because the bisphosphonates have many generic names. You might avoid them with dental issues. One of their side effects in some is osteonecrosis. This is usually after many years of use.
There is Prolia the one that provides a trap for people with dental issues. It is the worst in terms of this side effect although many do not suffer with it in that way.
Prolia and the bisphosphonates are considered anti resorptives their main mechanism of action is to prevent the normal process of bone renewal.
Evenity is a medication sort of in the middle. It does list dental issues as a seen side effect. It is primarily antiresorptive and is called such. It adds bone but it isn't remodeled bone.
Best of all are the wonder drugs the expensive anabolic osteoporosis medications. Tymlos and Forteo. No osteonecrosis in their mechanism. They are used to repair the damage to the teeth that sometimes happens with the antiresorptives. They build the best, most resilient, adaptive bone that you need if you plan to remain active.
You can see this is a completely unbiased narrative from someone who doesn't have dental issues. Pay close attention to advice from others with more experience that will follow.