Single Prolia injection and tooth decay/issues

Thank you so much for sharing this information. We need to be aware of side effects like this.

Prolia is not thought to affect the tooth directly, but rather the jawbone. It can cause the loss of a tooth through weakness in the bone. If Prolia did or didn't cause your dental troubles, I'm glad you stopped after one shot.
It sounds like you are about due for another dexa. You might try Forteo, my favorite, this time. It increases bone strength in the jaw without the risk of osteonecrosis.

Hmm. I had a single Prolia injection in September 2024 and didn’t take another because my gynecologist insisted at the time that Prolia was the only drug out there for OP.

Naturally, I couldn’t leave that practice fast enough, because can you imagine a doctor telling WOMEN this nonsense when we are literally bombarded with drug commercials 24 hours a day? (In addition, I was on Alendronate prior to that.) She never gave me any info on Osteoporosis care whatsoever.

Cut to three weeks ago, when during dinner, a crown on my last molar popped right off and the tooth underneath was mush and had to be removed entirely. It was horrifying because I am fastidious about oral health.

I did ask the oral surgeon about the one injection of Prolia, and he told me that in all the years he’s done this, he’s never had a case of ONJ, AND, he’s removed teeth from women and men who are on Prolia and other OP drugs.

My dentist assured me of the same.

Thankfully, I healed with no complications at all. I have until August to decide if I want an implant to replace the tooth.

I’m currently not on anything other than a calcium rich diet, Vitamin D with K, and exercises for OP. I see my rheumatologist this month to make a decision on what’s next, BUT…

While I’m here, has anyone gone to the University of Chicago’s Osteoporosis Treatment Center? I have an appointment for June (I live in Florida), and I’d love to know if anyone has had an experience there.

Thank you for sharing this. I believe my tooth is mush as well and will likely need an implant (it's one of my eye teeth so necessary). Probably not Prolia related but I am still skeptical given the other cavities. I am also fastidious about my dental care so I can't imagine what else is causing it.

With respect to medical advice, following my one shot of Prolia I had an appointment with male rheumatologist who didn't want to hear my concerns about continuing it, telling me "what is the issue, you have a chronic disease and need to be on medications for the rest of your life". Mind you my Dexa only showed a -2.6 in lower spine, osteopenia in other areas. I'm searching for a new female specialist and working on building bone with diet and weight bearing exercise. Glad to hear you are going to the OP clinic - best of luck!

One injection would not have caused this. But I agree Prolia has side effects no one should go through. It is pure poison. There needs to be a more organic way to protect our bones. It all starts diet and exercise…as well as sleep, as during sleep our body repairs itself. It is also our loss of hormones that exacerbate the osteoclast and osteoblast to do their job in repairing our bones. So, it is multi-factored and should be addressed in the same way. Anyone you find in the medical field, has very little training to address anything, much less, osteopenia or osteophorosis. All they know how to do is write a pharmaceutical grade prescription. Medicine and providers need to change their habits.

One injection would not have caused this. I agree Prolia has side effects no one should have to go through. It is pure poison. There needs to be a more organic way to protect our bones. It all starts with our diet and exercise…as well as sleep, as during sleep our body repairs itself. It is also begins with menopause, as our hormones diminish….it hormones cannot direct the pathways of the osteoclast and osteoblast to do their job in repairing our bones. So, it is multi-factored and should be addressed in the same way. Anyone you find in the medical field, has very little training to address anything, much less, osteopenia or osteophorosis. All they know how to do is write a pharmaceutical grade prescription. Send us in for DEXA scans, which are dangerous. Medicine and providers need to change their habits. There are better ways and I am exploring them, doing as much research as possible.