I am 65. I took Reclast for 3 yrs - twice a year for the first two at only 1/5 the dose, then once at half the dose. My endo was very careful with me due to the side effects I get from medications and the Reclast.
My last dose of Reclast was May 2025. In July 2025 I had a root canal that failed so ended up with an apicoectomy in August.
I was referred to an oral surgeon as imaging showed a tooth that needed extraction. He is a surgeon who doesn’t like to touch people who’ve been on Reclast. He advised waiting “ as long as possible” for the extraction. It was finally removed in February 2026.

The area around the other tooth treated with root canals remained painful to touch for months and I had been feeling unwell with fluctuating fevers during this time. More than once I asked the surgeon if waiting to intervene could harm my bones but he said it’s better to wait due to my Reclast history. I finally convinced the oral surgeon to do a cbct and it showed infection remained and had eaten a lot of the bone there. The tooth was extracted in March 2026.

I’ve been off Reclast during this time to get the work done and to wait to receive implants, which he said he would do after I healed enough, so we waited 5 months. Now the surgeon says he always felt I wasn’t a good candidate for implants due to the Reclast and since it’s tooth 11 and 12 ( near the front) the bone there is naturally thinner ( in all people) and he’d be forced to implant at a bad angle that would make the tooth stick out.
He doesn’t want to do a bone graft, but would if I insist.

At this point I feel it’s not good to ask a doctor to do something they’re not comfortable with and I wish I had gone for a second opinion last year. Waiting to do the work created much more damage ( that area which is 4 months post extraction needs more time to fill in, and still remains somewhat touch sensitive on the exterior of my face )

Given the fact that my dosage of Reclast was mainly 1/5 of a dose and only once at 1/2 a dose my instincts are that the odds of osteocronosis should be lower. I am going to look for an oral surgeon who’s comfortable treating me. How does one find someone like this- hopefully without paying for multiple consults? ( some are $200- $300 to consult plus a new cbct if I can’t get the one just done - many practices say they can’t read the cbct from other drs as they have different readers.