I am 77 and my 2025 Dexascan showed the lumbar spine at -2.5 so the ortho doctor staffing the clinic "bone fracture clinic" is recommending meds. I have been at -2.4 for years. I have been a periodontal patient for many years with cleanings every 3 months and doing everything I can. I have lost a few molars over the years and am told I am not a candidate for implants with too much bone loss for grafts, etc. I have pushed back on bi-phosphonates for that reason so the doctor is suggesting Tymlos for 2 years followed by Reclast. Am I just kicking the can down the road for 2 years since Recast is a bi-phosphonate? Has anyone had drs make a connection with OP and loss of jaw/facial bone as we age? I am struggling with a decision on meds with so many dental issues and my worst Dexa is -2.5. Incidentally, I had changed primaries so used a different dexascan prior to the -2.5. It was -3.1! I repeated it at the original and it was back to -2.5 so I feel my treatment plan for meds is being based on somewhat arbitrary data. Argh!