Tooth extraction prior to starting Evenity

Hi annmcd12,

The fact that you’re asking seems like you’re not totally comfortable about the timing of the extraction and starting Evenity treatments which is understandable.

I would message my rheumatologist/endocrinologist to discuss treatment contraindications and perhaps get some peace of mind about dental work and the administration of OP drugs.

Evenity worked wonders for me - well tolerated and great results. An extraction was not recommended for me while taking Evenity, but it might be a chicken-egg situation.

Best wishes to you!

Cheers!

I have had 4 Evenity shots to date, then my front tooth broke off at the gum line. My Evenity doctor wants to have the dentist/oral surgeon weigh in on what he/she recommends I do.

(1) One option was to hold off on any Evenity shots one month before and 3-4 months after having a tooth extraction, temporary implant with a capped temporary tooth, to be followed up with a permanent implant once I am finally done with the Evenity shots. My osteoporosis doctor says that would be like starting over on the Evenity treatments and that I would lose all I may have gained with the 4 shots to-date.
(2) Second option is to have a root canal and a temporary (or permanent?) bridge, redoing the crowns on the two adjacent teeth (that I just spent thousands having crowned....).
(3) Third option is to leave my gaping missing front tooth alone, ignore what it looks like, hoping I don't get an infection in what's left of my tooth or in my gum, and finish the remaining 8 Evenity shots.

Does ANYONE have a recommendation or any experience with this situation?

What a place to be caught, between your dentist and your osteoporosis doctor. I know that place well. I am sitting there now. I don't know which I am more afraid of, the possible tooth infection, or the healing time it will take for the jaw bone to heal after extraction. But we have options.

My implants failed twice after osteoporosis drug and dentists are afraid of antibiotics now. My body is wracked with fractures and I'm 82 and nobody understands treating osteoporosis. I can't find anybody to do bone implant instead of cadaver bone. They are afraid

My dental status has me shaking in my boots. I am 77 yrs. old. I need an extraction and some fillings. I think both my doctors are afraid to say yea or na on my next move. I can't get them to agree. Much luck to you.

I am 70-year-old in good health except for osteopenia and osteoporosis in my spine. I have been on Prolia for 5 years (Fosamax made me feel ill) my bone density has improved every year.
A. Two things happened recently, I paused my Prolia injections to have a tooth extracted and have had a titanium implant that is healing well; final appointment to have abutment is March 2025.
B. I had an appointment with my Internist, (annual) my cholesterol which has always been normal has increased to the point that she wants me on a statin. I shared my results with my Rheumatologist last week to explain my concerns with cholesterol and could the results be related to Prolia. She is concerned with the timing of the transplant and started new meds to protect my bone density improvement and suggesting Evenity.
Looking for information from others that have resumed treatment following a titanium implant.

What are the options?

I just had three teeth extracted and had a video conference with my endo this week about which bone meds to take if any. She mentioned that I should not start any bone meds until entirely healed, about three months. I did however have two implants installed, so that may have made a difference.
She made our next Zoom for March just to be sure.