After discussing with my long term physician and the oral surgeon, the decision is based on the person's history/health, and what needs to be done. It is ultimately your decision if the oral surgeon agrees that work needs to be done. The warnings on the meds need to be considered, however it doesn't mean that the bad things are going to happen to you. Evenity is a bone producer, but the oral surgeon told me that it does have the "Bis" drugs in it like the other osteo drugs. For me, I had some erosion of jaw joint when I had a broken jaw years ago, so it could happen to me anyway without the drug. Although, I have had no problem in 30 years. I chose to go ahead with the surgery and know what to expect if it goes poorly. I want to be able to stand for over five mins. at a time again. I have become disabled at 69 due to the standing issue.