1. < Osteoporosis & Bone Health

Has anyone with Osteoporosis had resorpsion of teeth?

Posted by drsuefowler @drsuefowler, 3 days ago

I just went to the dentist and found that I have 2 more teeth with starting resorption. I have had 2 others in the past, one that was replaced by an implant. I wonder if this is the same process that occurs with Osteoporosis. I have Osteoporosis and have broken 5 bones in 18 months. I took a half dose of Tymlos for 10 months and now have been on Forteo for about a month. The dentist thought that these new resorpsions were quite recent. Could these anabolics be responsible? Or is it because I have cut back on my calcium supplements due to having too much calcium in my urine?

My CTX has been consistently higher than my P1NP. Most recent results were CTX 1200 and P1NP 190. This ratio is similar to when I started meds, which was CTX 519 and P1NP 78. One Endo has prescribed Evista in combination with Forteo. I have not started it yet. I take Levothyroxine for hypothyroidism and from what I've read it is contracted by Evista. This endo has also suggested Strontium. My dentist didn't seem to know anything about Strontium.

Having the new teeth resorpsions makes me even more worried about my Osteoporosis. Even though I hate taking medication and try to be as natural as possible, I am now considering the Evista and Strontium in case it may make my teeth and bones stronger.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

glojo (Gloria) | @glojo | 15 hours ago
In reply to @drsuefowler "Years ago my dentist discovered I had a resorption of a tooth root. She burned away..." + (show)
@drsuefowler

Years ago my dentist discovered I had a resorption of a tooth root. She burned away the gum and fixed it. She didn't want to do that to the second resorption, so I went to an endodontist who was able to drill the root and add material to make it stronger. That tooth lasted 5 years until it needed to be pulled. Now that I have these new resorptions, I'm wondering if I should be proactive and have root canals before it starts to hurt. Has anyone done that?

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Two of my resorptive teeth were identified on a routine bite wing x-ray. I went to a endodontist to see what if anything could be done. He said nothing could be done for those teeth. They’d likely crumble if he tried to do a root canal. He found a neighboring third tooth in its early stages, but only on a full mouth CT, so it didn’t show up on the bite wing. He did do a root canal on that and thinks the fix will be permanent. The endo advised me to have those other two out now, but the dentist says I can wait and watch, as long as there isn’t any exterior sore around the outside of the tooth that could become infected. My resorption is all interior. Hard to know what to do, but hard to have teeth pulled that don’t hurt!

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2 replies
drsuefowler | @drsuefowler | 6 hours ago
In reply to @glojo "Two of my resorptive teeth were identified on a routine bite wing x-ray. I went to..." + (show)
@glojo

Two of my resorptive teeth were identified on a routine bite wing x-ray. I went to a endodontist to see what if anything could be done. He said nothing could be done for those teeth. They’d likely crumble if he tried to do a root canal. He found a neighboring third tooth in its early stages, but only on a full mouth CT, so it didn’t show up on the bite wing. He did do a root canal on that and thinks the fix will be permanent. The endo advised me to have those other two out now, but the dentist says I can wait and watch, as long as there isn’t any exterior sore around the outside of the tooth that could become infected. My resorption is all interior. Hard to know what to do, but hard to have teeth pulled that don’t hurt!

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Thanks for sharing Gloria. My resorptions are also internal. I don't think I would have a tooth pulled if it didn't hurt. I am having trouble considering even a root canal when my teeth don't hurt. My dentist said to wait until they hurt, but that may mean I might lose those teeth. I suppose I might any way. My husband just had a root canal and it cost $1700, plus they hurt. It sounds like the endodontist did help you.

REPLY
drsuefowler | @drsuefowler | 5 hours ago
In reply to @glojo "Two of my resorptive teeth were identified on a routine bite wing x-ray. I went to..." + (show)
@glojo

Two of my resorptive teeth were identified on a routine bite wing x-ray. I went to a endodontist to see what if anything could be done. He said nothing could be done for those teeth. They’d likely crumble if he tried to do a root canal. He found a neighboring third tooth in its early stages, but only on a full mouth CT, so it didn’t show up on the bite wing. He did do a root canal on that and thinks the fix will be permanent. The endo advised me to have those other two out now, but the dentist says I can wait and watch, as long as there isn’t any exterior sore around the outside of the tooth that could become infected. My resorption is all interior. Hard to know what to do, but hard to have teeth pulled that don’t hurt!

Jump to this post

Gloria,
I am so sorry that I didn't see that I should have responded above the
line. I shouldn't have tried to respond to you before I was fully awake.
Your post was very helpful.
Thanks,
Sue

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