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DiscussionProlia treatment for osteoporosis: What is your experience?
Osteoporosis & Bone Health | Last Active: Jul 13 3:27pm | Replies (1246)Comment receiving replies
Replies to "@mipprolia my doctor wants to start me on prolia. I read all about it. Had a..."
This is a risk with all of the osteoporosis drugs. It's called osteonecrosis of the jaw
The best thing to do would be to pull the tooth and let it heal before starting the drug. However, one of my teeth broke while I was on one of the osteoporosis drugs. It had to be pulled so that the tooth could be replaced with two crowns and a bridge. Even though it was a small tooth, my dentist sent me to an oral surgeon. I think that the oral surgeon was better informed about the risks. He gave me actual probability, which was actually very low. He then pulled the tooth, and I had no problems.
Both myself from very early menopause (breast cancer) and my husband from bone cancer(multiple myeloma), are on these types of bone strengtheners. Yes they do recommend that you get any dental work needed, completed before you begin. Especially extractions, to prevent issues with the jaw. But the flip side of that coin is compression fractures. My husband had two before he was diagnosed and it took the strongest man I know to his knees with a simple sneeze. I had multiple (more than 12) from a fall that should not have broken anything. Now I have steel plates and screws, and some pretty chronic low grade pain. Only you and your doctor can weigh the risk versus benefit of this. I wish you good health.