Dental work while on Reclast?
Has anyone had dental work done while on Reclast? Any problems, particularly if the dental work involved an extraction or an implant? A published survey found that cases of jaw necrosis occurred two or more years after beginning Reclast, but six years or more for patients on Fosamax.
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@kar50
I have invisalign while on Prolia and I've had no issues except that my teeth seem to be moving more slowly. I have to wear each tray longer than they say. I assume that is due to the bisphosphonates but don't know for sure. I am switching to Reclast next month. My bottom teeth were shifting forward so much that they were really crooked and overlapping which made it hard to keep them clean. They felt that I would be able to reduce the potential of dental problems w/those teeth if we could fix the crowding.
@kar50
I did the invisalign and am so glad I did. I wear mine primarily at night which also makes the whole process take longer, but my orthodontis is so kind and patient, and he is fine with it.
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1 Reaction@gowalking
If I were you, I would definitely contact the doctor who is treating your osteoporosis (the one who will order the reclast infusion) and let him know the dates & details of your dental work and the date you will finish Tymlos (a reminder because details sometimes slip thru the cracks), and ash for his/her input on when you can safely get the Reclast.
@ljoh
When you say poor results, is it that the teeth do not move well? Or if it is other problems, do you mind sharing here what those are? I have invisalign and will be switching from prolia to reclast so I'd love to know. Thank you.
@mmkrsk
I did ask the doctor and she said get the Reclast two to four weeks after stopping TYMLOS. Reclast will freeze the gains from TYMLOS so you don't want to wait and begin losing the gains. The dentist said since the extraction and implant were done a few weeks before the Reclast, it should be good. I went back to the dentist at two weeks and four weeks for post procedure check ups and all is good.
I will be having back surgery on Thursday, April 30, 2026 and the dentist has recommended keeping the Invisaligns in during surgery to protect the implant, I have left them in during two prior surgeries and am hoping I can this time also.
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1 Reaction@mmkrsk
My bottom teeth are also the main problem, which led to 2 cracked teeth and the decision to begin orthodontic treatment.
I see that you mainly wear your Invisalign at night. I've opted for traditional braces because I didn't want the interruptions during the day of eating, drinking tea, etc.
Best of luck and happy that you're protocol is just right for you.