My question is for those of you who take bisphosphonates oral and IV, and who have dental issues requiring tooth extraction .
I am curious to learn what you are doing when a tooth needs extraction or when the tooth still hurts after you have spent thousand of dollars on root canals ? What have you been advised to do by your dentist regarding extractions? What statics have you been given for the odds of getting osteonecrosis?
The amount of bone drugs certanly plays a role I had one Reclast infusion, otherwise I am oral Fosamax and Letrozole.for a long time now
This is the advise I have been given so far, but I sit here with tooth pain and do not know what to do.
I have a tooth which still hurts after three roots have been treated repeatedly . This has been going on for 10 months. The pain is occasionally flaring up again, and I need antibiotics There is just a stump of a tooth left . The best would have been to have this tooth extracted as it cannot be crowned.
I am simply scared to have it extracted, because of the advise I was given .
A maxofacial surgeon at a dental clinic of a major university took a very strong position, and advised me not to pull this tooth, even if I have to live with some pain in it .
He painted a very vivid picture for me of what osteonecrosis looks like in the cases he had seen after a tooth extraction. He told me even if the sew the wound shut correctly after extraction , there have been many cases of osteonecrosis in women oral bisphosphonates but especially those that also had IV bisphosphonate . He described constant pain, pus in the wound, bad breath he observed in patients with osteonecrosis.
I am aware that when extraction takes place closing the wound and not having food touch it, is crucial. In some European countries they feed the patients intravenous for week after extraction. I do not think this is done in the USA.
So far I have no osteonecrosis..I also had had jaw pains for a while under the tooth, an MRI excluded osteonecrosis. I also had a "cone scan" which apparently had some white spot under the tooth next to that one treated. I do not know jet what that means.
I appreciate any input from you
8/23/2011, IDC, 1cm, Stage I, Grade 2, 0/1 nodes, ER+/PR+, HER2-
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