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Dental work while on Reclast

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

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@hlp123

Thank you so very much for all of this very helpful additional information !!!!! I am so very lucky to have you as a resource !!!! I will absolutely do the exercises that you suggested. How wonderful to have the information to address a situation before it becomes a problem.
My main concern is that I received the infusion of Reclast in March. I do not intend to get any more Bisphosphonates, if I can help it but I am still concerned about this possibility of necrosis. Using the guide of whether or not I have pain seems to be the only indication the dentist is using as to whether the bone has healed. Is this adequate ? or normal ? Also recommending that I can go forward with having the remaining four teeth removed in two weeks seems very soon. I am no expert, but I have read that there is no assurance that the bone has healed after a root extraction while on a bisphosphonate until there are no symptoms at the eight week point. I hear your advice and concern about the pressure that I am forcing my four teeth to take on. I agree it would be much better to relieve the pressure and prevent the remaining four roots becoming infected, but for now I am leaning toward being very conservative. I am being very careful about eating only soft foods and maintaining good oral hygiene.
I hope that this "Denture recommended doctor", has experience treating patients who are taking bisphosphonates. I promise to keep you up-dated, and reach out for your calm, thorough information.
You are absolutely correct, that it will be a huge relief to have a plan going forward that I can follow with confidence. Thank you so much !!!!!!!

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Replies to "Thank you so very much for all of this very helpful additional information !!!!! I am..."

The conservative approach is a good plan for you in waiting until that 8 week period has passed. Here’s what you can do to see if the bone is healing. After 8 -10 weeks, have an xray done of that area. The bone won’t have filled in completely but it will show up on the X-ray by then. If it has and you have no pain, then you could go ahead with the other 4 teeth.

In the meantime, you can contact that new dentist and have a preliminary plan for when you do make the plunge. 🙃He/she might have some more options for tooth replacement and dentures for you to think about. I’m always happy to help clarify things for you any way I can but the final decisions are made between you and your dentist. ☺️ How’s that for passing the buck?

If I can encourage you in any way, it’s to stop fretting about necrosis in that area. It’s statically low that it will happen and generally it’s more related to lower jaw than upper. Also, the fact that you had a fair amount of bleeding says that there is a good blood supply to the bone in the extraction area. Osteonecrosis happens when the blood supply to the bone is interrupted and it’s surgically repairable if it does happen.
So try to relax about this and let nature take its course. If I could I’d reach through the computer to give you a hug and infuse you with my sense of calm. 🙂 That’s on my insides! Haha outside, I’m animated and flail a lot when I talk.

I have to ask, with only 4 teeth on top you’re so calm about that! What are you able to eat?