I had been on Prolia 5 years and needed a tooth extraction and a titanium implant. Long story, but my Rheumatologist gave the Periodontist the OK. Little or no warning from Rheumatologist and none from my Periodontist until a few minutes before he pulled the tooth regarding possible issues; I almost backed out of the procedure. My periodontist took several x-rays of my jaw/tooth over a 7 month period, checking for any issue pre and post extraction. He had me wait 7 months to complete the procedure and then another two weeks before having the crown.
I have since done my own research reading reputable scientific journals. It is recommended that you have the tooth pulled and implant procedure as close to the end of a Prolia injection (5.5-6 months post injection). There are additional issues for those with cancer that have had radiation so it is best to consult with a bone specialist or experienced oral surgeon. Ask all the questions you can, explain your worries share journals with them ask the what ifs….
Unfortunately my rheumatologists and periodontist were more concerned about jaw necrosis than the Prolia “holiday” I was on for 3 months post dental work. I am 71 and have never broken a bone in my body until I fractured my L-1 and L-3 not due to dental work but due to not getting back on Prolia within a shorter period. My rheumatologist never discussed the need to get right back on Prolia, even after she had me get an x-ray due to back pain 10 days before I fractured. I have since shared the research regarding Prolia and dental procedures and given it to my dentist, periodontist and rheumatologist. I am certain from my conversations w each they had little understanding of the side effects from Prolia when getting invasive dental work.
I have an appt. with an Endocronologist that specializes in bone health in February. I am hoping to find a way to relay off of Prolia. (She had a 12 month waitlist). Sadly knowledgable physicians are few and far between and these bone meds are fairly new and research is starting to get published. I hope my story empowers you in some way❤️