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Has Anyone Had Dental Work (implant, extraction) and Not Gotten ONJ??

Posted by sebutler @sebutler, Mar 1, 2025

Having dental work -- specifically, a tooth extraction or an implant -- is supposed to be a risk factor for ONJ if you are on a bisphosphonate or other antiresorptive medication. I was wondering if anyone in this forum has had this kind of dental work but NOT gotten ONJ. My brother has been on Prolia for several years and had extensive dental procedures to extract teeth and put in dentures, but has not had ONJ. As you might guess, I am posing this question because of fears of taking a bisphosphonate after being on an anabolic agent (Tymlos). That is required to prevent loss of the newly formed bone.

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sebutler | @sebutler | Mar 28 9:46pm
In reply to @suzy56 "I have recently had 4 teeth extracted, this was 3 months into my Prolia jab. So..." + (show)
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I have recently had 4 teeth extracted, this was 3 months into my Prolia jab. So far my mouth has healed well with no symptoms of necrosis. My surgeon takes x-rays before & after extraction. He did prescribe a course of antibiotics after a double extraction. So far doing very well.

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@suzy56 I am so happy this went well for you! Gives me some reassurance. Did your surgeon also have you on antibiotics before the teeth were extracted, or just afterward?

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jenatsky | @jenatsky | Apr 1 1:02pm

I’ve had 2 implants performed over the past 3 years with no problems and I’m on my last year of Alendronate.

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sebutler | @sebutler | Apr 1 3:25pm
In reply to @jenatsky "I’ve had 2 implants performed over the past 3 years with no problems and I’m on..." + (show)
Profile picture for jenatsky @jenatsky

I’ve had 2 implants performed over the past 3 years with no problems and I’m on my last year of Alendronate.

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@jenatsky Thank you for sharing!!!

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