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Dental work while on Reclast

Osteoporosis & Bone Health | Last Active: Oct 22 7:01am | Replies (161)

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@loribmt

You just gave me the answer as to why the dentists aren’t considering holding onto that root…you’re having a full upper denture. Now I understand and I’m sorry, I should have asked right away about the condition of the surrounding teeth. This changes what I mentioned about a root canal and a flipper for a temporary. 🙂

I’m anticipating what will happen next, is the oral surgeon will extract #11 for you and then let that area recover, making sure the socket heals well and fills in with new bone.

How loose are the other 4 teeth? If all goes smoothly with the extraction of this tooth, you may not have to wait until after your next Reclast injection to continue with the other four teeth. (It might be good to have the remaining work done before the next shot.) The oral surgeon and the dentist who will do your denture might decide to go ahead with removing those last remaining teeth to avoid any infections.
Some good questions for you to ask your oral surgeon, dentist/prosthodontist would be:
What would be a feasible plan going forward?
How soon would I be able to have the other 4 teeth removed?
Would I be able to have an immediate denture or do I have to wait for the sites to heal?
Will I need to have Implant anchored dentures or would I be able to have a standard denture which is sometimes held in with adhesive?
( Implanted anchor dentures work really well and have no plastic over the palate area. They can be very expensive.
A standard denture will work if you have a stable upper arch. Your dentist will be able to tell you about these options)

For now, have the cuspid root removed and let that site heal. And exhale…I think you can let yourself relax. 🙂

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Replies to "You just gave me the answer as to why the dentists aren’t considering holding onto that..."

I want to respond and report how my situation has progressed since our last connection.
I proceeded with the extraction of the root from #11 at the oral surgeon on October 13th. To fill you in on his procedure, He had me take one capsule of doxycycline one hour before the extraction. Then one capsule (100mg) bid for one week. He reported that the root came out clean, and there was a lot of bleeding and he felt that this was a sign that the health of the bone was good. The rest of his instructions were to rinse with salt water 4 to 6 times a day and to use Peridox mouth rinse every am and pm ( 1 tablespoon) for 60 seconds until gone. I have followed his instructions. I take 1000mg of Tylenol every 6 hours ( up to 3,000mg in 24 hours)routinely because of my severe arthritis and the extraction area, although still tender, the sensitivity is less each day. I have been experiencing pain around a level 3 at the rear, lower left jaw area. Wondering if this could be a referred pain. However this "pain" has not increased in intensity. I expected the oral surgeon to ask to see me at a follow up appointment to be sure the extraction site was healing properly. However, he said that he did not need to see me again unless I had increasing pain or needed him to extract my remaining four teeth. I was not able to get clear answers to the very helpful questions you offered for me to ask. I asked for a feasible plan going forward and he said that I would have to decide if I wanted dentures. I asked how soon would I be able to have my remaining 4 teeth removed? and he said I could have that done in 2 weeks. He said as far as he could tell, he thought I had a stable upper arch. I finally settled with asking him for the name of the most qualified dentist he knew to provide me with dentures. I will make an appointment with this dentist and see if he can assess how well the extraction area is healing and if it has filled in with new bone. I don't understand how using the measurement whether or not I have increasing pain can really answer that question adequately. I am grateful that the extraction appears to have gone well and that I am healing. I am not in any hurry to have any further procedures done at this point. I can cope with only four teeth for now.
I would really like to know if you think my next step, to have the Denture specialist, assess the health of the jaw bone, makes sense to you. Or what would you advise ? Thank you, so very much ! Through out this whole procedure, your calming, intelligent input has been so helpful.