Has anyone with Osteoporosis had resorpsion of teeth?

Posted by drsuefowler @drsuefowler, Jan 8, 2025

I just went to the dentist and found that I have 2 more teeth with starting resorption. I have had 2 others in the past, one that was replaced by an implant. I wonder if this is the same process that occurs with Osteoporosis. I have Osteoporosis and have broken 5 bones in 18 months. I took a half dose of Tymlos for 10 months and now have been on Forteo for about a month. The dentist thought that these new resorpsions were quite recent. Could these anabolics be responsible? Or is it because I have cut back on my calcium supplements due to having too much calcium in my urine?

My CTX has been consistently higher than my P1NP. Most recent results were CTX 1200 and P1NP 190. This ratio is similar to when I started meds, which was CTX 519 and P1NP 78. One Endo has prescribed Evista in combination with Forteo. I have not started it yet. I take Levothyroxine for hypothyroidism and from what I've read it is contracted by Evista. This endo has also suggested Strontium. My dentist didn't seem to know anything about Strontium.

Having the new teeth resorpsions makes me even more worried about my Osteoporosis. Even though I hate taking medication and try to be as natural as possible, I am now considering the Evista and Strontium in case it may make my teeth and bones stronger.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

I have been diagnosed with osteoporosis since 2003 and have been on alendronate twice or three times for five years at a time since my diagnosis (went on drug holidays in between). I am 73 years old. Last June-July, when I was on a drug holiday, my doctor prescribed Tymlos. I had very terrible side effects and had to stop after less than four months, last October. But one thing that did happen was a resorption of the root of one of my teeth. I did not link it with Tymlos, but reading some of the comments here, I wonder if this was caused by Tymlos? My dentist had done a full mouth x-ray about a year before my taking Tymlos and the resorption was not there. In a short period of time, it progressed so fast that while I would have wanted a root canal, I now have to have an extraction because the endodontist said he could not assure me that my tooth would be remain structurally stable for any length of time because of the resorption. Seven months after I stopped being on Tymlos my endocrinologist ordered blood tests and 24-hour urine calcium test to my measure my calcium, vit D, resorption ability, kidney function, etc. All of my results (calcium, vit d, parathyroid, CTX, eGFR, creatinine, etc) came back normal. I hope this means I won't have any more resorption. I plan to stay away from osteo meds from now on (esp Tymlos), and since January, have been improving my diet, taking protein shakes, AlgaeCal Plus, magnesium glycinate, and have enrolled in Onero. Although my DEXA scan confirmed severe osteoporosis after I stopped Tymlos, my REM scan showed very strong bones. The fact that I have (fortunately) not suffered any fractures probably confirms the validity of my REM scan.

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Profile picture for ipg @ipg

@drsuefowler
Sorry for My typo-
Is the reabsorption of the teeth new? Can you attribute it to Forteo or Tymlos and what do they due about it? I have extreme dental issues that are worrisome too

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@ipg, The resorption was last year and it was new. I had been on a half dose of Tymlos for 9 months and Forteo for a month. I don't think that it was because of the medications, because I had 2 resorpsions years ago before I even had an osteoporosis diagnosis.

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Ok. Thanks. Concerned about mronj and how it relates to op drugs

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I lost my four bottom front teeth to root resorption. Didn't have anything to do with. Hadn't been diagnosed with osteopenia at that time, and I wasn't on any of the meds. Dentist says it just happens - there are theories, but mostly the reason for it is unknown. Dentist sent me to endodontist just to see if root canals might save the teeth. Endodontist told me it would be a waste of time and money - I would lose the teeth anyway. I now have two implants and an implant bridge.

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Profile picture for glojo @glojo

Two of my resorptive teeth were identified on a routine bite wing x-ray. I went to a endodontist to see what if anything could be done. He said nothing could be done for those teeth. They’d likely crumble if he tried to do a root canal. He found a neighboring third tooth in its early stages, but only on a full mouth CT, so it didn’t show up on the bite wing. He did do a root canal on that and thinks the fix will be permanent. The endo advised me to have those other two out now, but the dentist says I can wait and watch, as long as there isn’t any exterior sore around the outside of the tooth that could become infected. My resorption is all interior. Hard to know what to do, but hard to have teeth pulled that don’t hurt!

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@glojo
Dentist told me that once the root had resorbed, the remaining tooth structure would get thinner and weaker and eventually break off - maybe at gumline. Showed me how thin one of them one was on the xray. I opted to go ahead and get all 4 removed, rather than wait until they broke off. Figured it would be easier to get the whole tooth out than have to remove one that had broken off at or below the gumline. Just my personal choice though....

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