← Return to Dental work while on Reclast
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Osteoporosis & Bone Health | Last Active: Oct 22 7:01am | Replies (161)
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Replies to "Thank you so much for your reply ! The oral surgeon said that he was sure..."
@hlp23 You can copy and paste the text to something like word and print it from there. Highlight the text with your mouse, and the copy command is Control C (or Command C) on a Mac, and click into a Word file to put the cursor there. Paste is Control V (or Command V). You can also pick Copy or Paste from the file menu in word.
Do you know why the tooth broke? Did you have a trauma or impact that broke it? If it just broke on its own perhaps it was weakened for some reason such as decay or mineral re-absorption.
A tooth has a natural seal around it from the periodontal ligament around the socket. If that ligament is damaged, or there is periodontal disease, it may provide a pathway for bacteria into the socket, but that might be something else to ask about. If the ligament is intact, then the only open route is through the exposed interior of the tooth or decay on the root surface if you have recession. I think what happens when you break a tooth is that the pulp (blood vessels and nerves) recedes a bit deeper toward the root. My tooth was in that state for years with no problems.
You do want to avoid an infection. The bone graft to replace bone lost to my infection in the jaw was around $1000, and my dental insurance wouldn't pay for that even though they covered the surgery which doesn't make any logical sense. Are you considering work to replace a tooth after removal? Sometimes a bridge is done, but that carves up teeth on each side of the missing one. A dental implant with a crown on it replaces a singe tooth. No replacement is as good as the original. Crowns also present a decay risk when the cement fails under them. That has happened twice to me. There is only so much drilling and filling, and replacing crowns that can be done before there isn't enough left of an original tooth under it to attach something to. In all fairness, this process began for me as a kid, and I had a bad dentist that did the first crowns where the margin didn't fit right, so it had a shelf that trapped debris and caused decay.
With dental implants, they don't want actual contact between its crown and the opposing tooth because it can loosen the implant which is depending on bone growth around it to secure it. You can get a bone infection around a dental implant. There is a seal around it, but not as good as the periodontal ligament. I had that happen and the oral surgeon had to do a debridement near the implant and replace a bit of bone. I am vigilant about flossing and oral hygiene. You have to be if you end up with implants because they can fail.
You probably have a lot of questions now for your oral surgeon. One of my fellow mentors, Lori @loribmt , here on Connect may be able to share a lot of information with you about dental issues and oral surgery. Also make sure that you discuss all medications that you are taking with your oral surgeon. There are other discussions here where patients are talking about not being able to have oral surgery while on osteoporosis medications. Here is a link:
https://connect.mayoclinic.org/comment/746048/
The patient said they called the drug manufacturer and asked about this risk. That might be another good source of information.
Will you be seeking a second opinion?