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← 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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Thank you so much for all of your information !
I did consult another doctor yesterday and he said to go ahead with having the root removed as soon as I can. It is a tooth on the upper left side, I believe #11.
There is only a tiny point left protruding from the gum. There is no decay involving the root. I am very cautious about having this procedure because I had an infusion of Reclast in March. It is very reassuring to have you reinforce that there is minimal risk of the osteocecrosis. I did make an appointment for October 13th. Please share with me any more information that will help me decide to go ahead with the procedure. I really appreciate you help and expertise!
Thank you,
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As far as having the tooth extracted while on the Reclast, you’ve had 2 dentists tell you to go ahead with the procedure. From everything that I looked through while searching for specific data for you is that very few people who had events of osteonecrosis, 8 women, had extenuating health circumstances. The necrotic tissue was removed and they made a full recovery from the surgery. So if this were me and I needed dental treatment, with the odds being very low…I’d go ahead with it. Again, it falls to the risk/benefit. You don’t want an abscess to form at the end of that root.
I’m not a dentist but I was a certified dental assistant for 30+ years, now retired. So I’m relying on my experience in that field and also the recommendations of two dentists you’ve talked to about this.
My concern lies in the fact that #11 is a Canine tooth. (Eyetooth). It will have a nice long root and it is generally referred to as an anchor tooth. It’s sad to lose that anchoring root if it can be saved at all. And by saving, I mean with the root canal treatment I mentioned previously, which would save the root to be used as an anchor for a crown with a post. But if both of the dentists made the assessment to remove the root they have a good reason behind their judgment. They may not feel it’s sound enough to support a post with a crown.
If it’s removed, it will need to be replaced with an implant or, less expensively with a tooth in a partial denture. That doesn’t mean other teeth need to be removed. Just one tooth could be mounted to that appliance. The more permanent and less annoying route would be the implant.
Tooth #11, being in the front of your mouth, you’ll have a gap in that space when you smile for quite some time. You can ask to have a Flipper made. It’s a plastic ‘partial denture’ with a porcelain tooth on it. It won’t hold up well with chewing like a real partial denture, but it will at least complete your smile. 🙃
I’ve posted a photo below of what it might look like.
I hope this helps you feel a little more reassured about going ahead with your needed treatment.
Don’t hesitate to pop back with more questions. I’m here for you. ☺️