I did not have any side effects from reclast or prolia, bit my bone density have increased more with prolia.
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I take drugs for asthma, allergies, and to prevent the rejection of my cornea transplants. In fact, my asthma drugs are one of the reasons that I was diagnosed with severe osteoporosis at the age of 41. I have to breathe, and I have to see, so I must take these drugs. The doctor who treats my osteoporosis knows about these. It is one of the reasons that I will probably be on osteoporosis drugs for the rest of my life.
Of course, this is a personal decision that only you can make. I found the following article:
This is a multi-year study of prolia with a large number of women. 1500 women in the study had to have teeth pulled, roots scraped, dental implants, etc. Only 0.48% of these women developed osteonecrosis of the jaw
I believe that this is the risk that my oral surgeon quoted me when I had to have a tooth pulled. As I said before, the oral surgeons who do these procedures seem to be more aware of the actual than family dentists.
This is a risk with all of the osteoporosis drugs. It's called osteonecrosis of the jaw
The best thing to do would be to pull the tooth and let it heal before starting the drug. However, one of my teeth broke while I was on one of the osteoporosis drugs. It had to be pulled so that the tooth could be replaced with two crowns and a bridge. Even though it was a small tooth, my dentist sent me to an oral surgeon. I think that the oral surgeon was better informed about the risks. He gave me actual probability, which was actually very low. He then pulled the tooth, and I had no problems.
Best wishes to you. I hope that you can stay on your feet and avoid fractures. I have some dizziness for which I take medication, but most of my fractures seem to be due to bad luck (fell hard on my back and broke my sternum).