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Good evening @gingerp, welcome to Connect. I see this is your first post and it is a timely issue. The first thing I noticed is that you are getting ready for spine surgery. Although I was on Tymlos for two years, I did not have any dental issues. As a matter of fact, I did not have any side effects during the two years on Tymlos. I also had a dental surgeon examine my X-rays before moving on to the bone protector medication after Tymlos. He found nothing of any concern as a result of the Tymlos treatment.
However, I do want you to meet @jenniferhunter. She is a spine surgery patient as well as a Connect Mentor and has been helpful to so many Connect members. Also, my local dentist is very interested in receiving information about members who have dental concerns.
I debated about including this next comment and I won the debate with myself. So, my Mayo endocrinologist has shared with me the current issues about major dental procedures and medical surgery. He feels that the length of these extended periods without mediation in order to facilitate dental implants is controversial. The surgery issues can be uniquely individual based on the medical and dental realities.
May you be safe, free, and protected from inner and outer harm.
Chris
Replies to "Good evening @gingerp, welcome to Connect. I see this is your first post and it is..."
Hi Chris
I would like to get in touch with your dentist regarding my dental concerns. I need to start tymlos and am having an issue with my jaw. I have some bone loss and it’s not healing following a root canal that lead to an extraction. I have been to several oral surgeons and can’t seem to get any answers.
Please message me.
Candy
As a daughter of a mother who lost all of her teeth while she was on Prolia, I'm sympathetic. (And main reason I'm on Tymlos). As a dutiful daughter, once a month I sent my mother a box of chocolates - no caramel, no nuts. The night nurse carefully put one piece on her pallet so she could fall asleep with a pleasant taste that brought happy memories. She died at 102 years old.
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@gingerp Hello Ginger. I am a spine surgery patient with a C5/C6 fusion and I do have dental implants on my front teeth. That came after my spine surgery. I am not on bone building medication, but I do bioidentical hormone replacement that helps maintain bone. I did have surgery while I was in the process of dental implants for a fractured ankle, so at the time, I had no front teeth to worry about with the intubation procedures. I had surgery again to remove the hardware from my ankle after my dental procedures were complete, and I worried a bit about the intubation chipping my new porcelain teeth, and they used a plastic apparatus instead of the normal one. That irritated my throat for a few days, and it was fine. I had conversations with the anesthesia person about this at the time of surgery. I'm having a DEXA scan today to check on my bone health.
Do you have questions about your spine procedure and getting ready for that? Will your spine procedure place screws into the bone, and is this the concern about bone quality? If it is a lumbar procedure involving rods, the angle and placement of those screws is very important so they don't pull out from the forces of body weight at the lower end of the spine.