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Osteoporosis and Dental Work

Osteoporosis & Bone Health | Last Active: 5 hours ago | Replies (27)

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I had an extraction & implant before Prolia. I’ve had 4 Prolia injections and recently needed a root canal. The endodontist said he would send me to an oral surgeon, but an oral surgeon would refuse to treat me because of Prolia. The endodontist prescribed amoxicillin for ten days as a preventative measure. I started it two days before the root canal. He filled the interior of the tooth with calcium and added a temporary seal. I wait four weeks and return to see how it is working. Best case scenario I will need a new crown. If the tooth doesn’t look better, grind the tooth down to just below the gum line, seal off, and over time the body will absorb what is left of the tooth.
Implants are no longer an option due to Prolia. I regret going on it. I’m 79 and my mother had osteoporosis and refused to take Fosomax. She fell and broke several vertebrae. Her bones were so brittle drs couldn’t help her. She died 4 weeks after the fall. Watching her suffer made me want to try something, anything. Prolia is about as good as some other choices but dental issues create serious problems. I’m due for a 5th Prolia injection late September. I would like an alternative. Having a Dexa scan this month to see if two years of Prolia helped.

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Replies to "I had an extraction & implant before Prolia. I’ve had 4 Prolia injections and recently needed..."

Don’t switch to Reclast, same dental issues.
I’m having trouble deciding what to do right now.
You take one medication thinking it will help, but you find out you have more problems that need to be addressed
Good luck!

@jessicamc follow-up one year later. My Dexa showed improvement, very happy with the scores. I will be 80 yrs Nov 2026! I had a consultation with a Mayo endocrinologist who cares for osteoporosis & osteopenia patients. She gave me 45 minutes of her precious time explaining options for treatment. I left feeling like Prolia for me at my age would be about as good as any. She said there are always new studies, new medicines coming available so keep abreast of new research. I expressed my concern about dental health and she said if a dentist won’t treat me, find a new dentist. There are new techniques, procedures for dental care being taught at good dental colleges. Fortunately, the endodontist that did a root canal last year is in that category.
One last note, I joined the local Y and am doing strength exercises. Working to prevent a fall and to hope I can keep bone density stable.