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Dr said Good news Bad news

Prostate Cancer | Last Active: Feb 5 5:19pm | Replies (47)

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@jeffmarc I did research online concerning the loosening of teeth and yes it can happen with long term ADT. It has never been suggested that I take any type of bone supplement during over 7 years of ADT. This has happened in the last 6 months and includes all teeth and before they were very healthy. I know it can’t be proven but it’s a good possibility. I’ve talked to MD Anderson and Humane today and hopefully they can accept me as a patient. I have really great doctors here but their tools are somewhat limited. As you can see from the velocity rate in the PSA time is a factor. Thank you Jeff. The only thing they have offered at this point is to get more Lupron

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Replies to "@jeffmarc I did research online concerning the loosening of teeth and yes it can happen with..."

@acoope I was a dentist and I must say, even in the most severe cases of osteoporosis (all female patients) I rarely, if ever saw it affect teeth to such a large degree.
Yes, there was some horizontal bone loss but not to the level of loosening or losing teeth.
However, I would bet that osteoporosis in men - induced by long term ADT - is quite different than that of women. If you really want to get in the weeds biochemically I am sure the mechanisms of action on the jawbone are quite destructive.
But please consult with your dentist/periodontist and make certain that there is no periodontitis or generalized gum infection in your mouth.
Doxycycline hyclate 20mgs (Periostat) twice per day really inhibits connective tissue and bone destruction in the mouth. Please ask about this as well. Best,
Phil