Anyone had oral surgery while on Evenity?

Posted by bruceandruth1970 @bruceandruth1970, Jul 20, 2022

I am taking Evenity injections. My dentist told me today that I need a tooth extracted. This is not recommended while on Evenity. Has anyone had oral surgery while on Evenity?

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@bruceandruth1970

Thank you Amanda for the suggestion to follow others in this discussion.
The problem with my tooth came up after I started Evenity. The oral surgery cannot be put off for a year. That is why I wondered if this had happened to anyone else.
Thank you again.

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How did your extraction go? You have any problems since you were on evenity & needed to pull the tooth right away? Thanks for any info I am in the same boat now.

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@swgarrard

I have learned so much from this support group over the past year – it is the first thing I read each morning with a cup of coffee. While I want to (eventually) write a longer post, I wanted to reply quickly to your question as I recently had an implant. I started on Evenity in January of 2023 and discovered that I needed to extract a molar (crack and infection) in May. My oral surgeon thought it would be fine without a pause in medication but I checked with my endocrinologist and the dentist checked with a colleague at the local university medical school (all three are affiliated). They all agreed so I went ahead with what turned out to be quite a difficult and lengthy extraction but I followed the advice to ice the area consistently. The jaw area was a little swollen for several days, but I needed only a little Advil. The bone implant grew without incident, in fact when he measured the bone density (not sure the name of the tool he used) the strength was “88-89” and deemed excellent. I just had the crown placed on the post. As we know, everyone is different but I wanted to let you know that I had a good experience while continuing Evenity throughout.

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Thank you for your sharing your expierence!

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Has anyone stopped evenity for 1 month & had a tooth extraction (upper) with no problems? Thanks

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@cat714

Has anyone stopped evenity for 1 month & had a tooth extraction (upper) with no problems? Thanks

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I stopped Evenity for six weeks before and after oral surgery. No bad effects.

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I was on Evenity and had a tooth extracted. i got a mild case of osteonecrosis of the jaw. the oral surgeon had me apply chlorhexidine to the gum for several months. It healed fine. He is still watching me.

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@loriec

I too am on Evenity for 5 months and now may need tooth extraction and implant. I would love to hear more current responses to those who are or have been in this position. Unsure how to move forward.
My endo. Says take 1 month break and go back. But 1 month is not enough time for an implant. Appreciate any feedback. Thank you

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Did you proceed with extraction while taking Evenity? I’m facing the same problem.

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I found this information on a endodontist Laboratory Risk Assessment for Patients taking oral bisphosphonates

CTX Value Risk for ONJ
300 to 600 pg/ml (normal) none
150 to 299 pg/ml none to minimal
101 to 149 pg/ml moderate
Less than 100 pg/ml high
They do a CTX valuation.
If you haven’t had a recent CTX I would definitely suggest looking into having this done .

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@kristie2

I found this information on a endodontist Laboratory Risk Assessment for Patients taking oral bisphosphonates

CTX Value Risk for ONJ
300 to 600 pg/ml (normal) none
150 to 299 pg/ml none to minimal
101 to 149 pg/ml moderate
Less than 100 pg/ml high
They do a CTX valuation.
If you haven’t had a recent CTX I would definitely suggest looking into having this done .

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@kristie2 wondering if there were any guidelines provided for those that had higher CTX scores than what you sighted. OR should I assume if the CTX is in the 600 and higher range All is well - no issue???
Thanks for your valuable information!!! Something I haven’t come across as yet in my research!!!!

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@plmdolan

bruceandruth1970

I am also taking Evenity injections. I also need a tooth extraction. Has anyone answered your question about having oral surgery while on Evenity? I’m very interested in other’s experiences.

Thank you,
@plmdolan

I am taking Evenity injections. My dentist told me today that I need a tooth extracted. This is not recommended while on Evenity. Has anyone had oral surgery while on Evenity?

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I just received my 9th injections and recently fell, breaking one of my front teeth. I need an implant and am also hoping someone out there can offer some kind of hope. Thank you.

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@plmdolan

Thank you for your reply. I’ve had 11 Evenity injections, and I injured my lower middle tooth. I think it will need to be extracted, but because my dentist is out of town I can’t see him till Wednesday. I’m going to ask him to call my doctor and discuss this with him if it needs to be pulled. My trying to call and get to talk to him would be like “pulling teeth.” Sorry for the pun! I’ll let you know what happens.

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Id love to know what you find out too!!! I broke a front tooth off in a bad fall last week and am rather frantic about whether I can get it fixed or not. It needs an implant so I'm very interested in what you learn!

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