Osteopenia in spine with low TBS (1.19). All else good

I'm 59 and I recently had a DEXA scan because I lost .25inches in height. My scan showed normal femoral head and very mild osteopenia in my hips. However, my spine was very osteopenic (-2.3) with a TBS scores of only 1.19. I have a lot of dental restorations: 2 implants, 8 crowns, 2 root canals and 2 veneers. I'm terrified to take any anti-reabsorbative medication because of MONJ. Not sure what to do with these scores....anyone else have this dilemma? Doc wanted me on Fossamax, but I refused and I'm considering HRT.