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Topic: dental implants

Forum: Hormonal Therapy - Before, During, and After —

Risks and benefits, side effects, and costs of anti-estrogen medications. Note: Please remember that there are good experiences and bad with ALL treatments and this is a safe place to share YOUR experience, not to be influenced or influence others.

Posted on: Jul 22, 2013 10:38AM - edited Jul 22, 2013 10:40AM by mamadog53

mamadog53 wrote:

Does anyone know anything about getting dental implants while taking Arimidex? I'm trying to decide between having a root canal and crown or getting an implant. A call to my MO has been unsuccessful and my dentist doesn't have a clue. My concern is whether I will have sufficient bone grow for the implant to seat properly. Thanks.

Lynn
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Jul 22, 2013 09:11PM peggy_j wrote:

Is your DDS an oral surgeon? I think it's up to this DDS to understand whether a medication could reduce the success rate of his procedure. If he doesn't know it seems like he should find out or refer you to someone who does know. (like a clinical faculty member at a dental school).

Have you had a DEXA scan? I suspect there may be some debate about placing implants in patients with osteoporosis.

Dx 2/2011, IDC, <1cm, Stage IA, Grade 1, 0/3 nodes, ER+/PR+, HER2-
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Jul 23, 2013 12:44AM PatinMN wrote:

I am in the midst of getting my second dental implant. I highly recommend going to an implant specialist if possible. Mine is now using bone grafts to help with bone growth (did not do that when I had my first implant about 15 years ago). I am not on arimidex. I had the tooth pulled about a month after my lumpectomy, and the bone graft at the same appointment (if I'm remembering right); had the implant (post) placed 4+ months later (about a month and a half after finishing chemo), and am seeing my regular dentist to get the crown this week. The whole process has taken about 10 months, which is normal for my specialist. I would suggest checking with your dentist about getting a bone graft.

I will say that if I had the opportunity to get a root canal and crown instead of an implant, I would have done that. Unfortunately for me, it was a tooth that already had had a root canal and crown, and a couple years later I got a cracked root so the tooth was toast.

Dx 7/13/2012, IDC, <1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR-, HER2+ Surgery 7/31/2012 Lumpectomy: Left Targeted Therapy 9/19/2012 Herceptin (trastuzumab) Chemotherapy 9/19/2012 Taxol (paclitaxel) Radiation Therapy 1/7/2013 Breast Hormonal Therapy 3/31/2013
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Jul 23, 2013 07:21AM - edited Jul 23, 2013 07:27AM by mamadog53

No, my dentist is not an oral surgeon. I had a dexa scan scan just after I was diagnosed in 2011. I've been on Arimidex for 2 years now. I'm leaning toward the root canal/crown treatment right now. Partly due to cost and partly just because I don't want to spend several months dealing with the implant treatment. I'm also dental phobic so that doesn't help matters much. To add insult to injury my PCP just changed my anti-depressant/anxiety med. No real reason for that as I was doing fine on what I was taking. But that's another story......

Lynn
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Jul 24, 2013 12:50AM - edited Jul 24, 2013 05:23PM by Patricia3

Hi mamadog.  Over 5 years ago I had full teeth replacement implants - 5 implants upper & lower with bridges. I purposely did not go on Arimidex because of the risk of bone loss, but I really don't know whether or not it affects the jaw area, just not willing to take the chance.  I've been on Tamoxifen for 2 months (no side effects so far) as my med. onc. told me there is little difference between the two. Also I have low bone density and I've read discouraging posts on the effects of Arimidex.  I'm in my 70s, BTW.

If you have most of your teeth, I wouldn't think you'd be lacking bone.

I'd see a prosthodontist and maxillofacial surgeon for a professional opinion.

Good luck with it.

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Jul 24, 2013 11:31AM mamadog53 wrote:

Looks like I will be doing the implant. Dentist says the the root canal/crown idea just won't work due to the amount of tooth that remains. I still have most of my natural teeth except for wisdom teeth and the teeth that were removed prior to getting braces on when I was a kid. Can't get an appointment with the oral surgeon until late August. His calendar is full until then with kids getting their wisdom teeth removed before school starts. Meanwhile I'm trying to be careful with chewing on that side and praying it doesn't abcess in the meantime.

Lynn
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Jul 24, 2013 11:49AM PatinMN wrote:

mamadog53 - good luck, and start saving your money.  Tongue Out 

Dx 7/13/2012, IDC, <1cm, Stage IA, Grade 3, 0/2 nodes, ER+/PR-, HER2+ Surgery 7/31/2012 Lumpectomy: Left Targeted Therapy 9/19/2012 Herceptin (trastuzumab) Chemotherapy 9/19/2012 Taxol (paclitaxel) Radiation Therapy 1/7/2013 Breast Hormonal Therapy 3/31/2013
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Jul 24, 2013 12:11PM - edited Jul 24, 2013 01:22PM by duckyb1

Mama...have implants....never had a problem.....they did bone graft, but had nothing to do with BC......the drugs that affect the jawbone are the ones for Osteoporosis, Prolia, Reclast, Boniva etc.....just make sure you o to someone who specializes in implants....today everyone says they can do them.........they can't......

Also for the root canal question.....did you go to an Endodonist..........they are the only ones who can tell you what is the right thing to do.......learned that the hard way....goo luck

Ducky Dx 2/15/2011, IDC, Right, 1cm, Grade 1, 0/8 nodes, ER+/PR+, HER2- Radiation Therapy 4/25/2011 Whole-breast: Breast
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Jul 24, 2013 05:26PM Patricia3 wrote:

Good luck with the implant - you won't regret it!

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Jul 27, 2013 07:00PM peggy_j wrote:

mama, is it a general dentist who can't do a crown based on the amount of tooth that remains? It's possible that a specialist (prosthodontist) could do the crown, perhaps by placing a post in the remaining root. I agree with the other person who recommends seeing an endodontist for the root canal.  So, you may want  to consider a second opinion, since you have to wait to see the oral surgeon anyway. (FWIW, I had that same delay trying to see an oral surgeon around Christmas one year. All the college kids were home getting their wisdom teeth removed).

That said, I've had two implants and am very happy with them. I had them done (on separate occasions) by two different oral surgeons who were implant specialists. They wanted to wait 4 months after the extraction before placing the implant. I think that's the more reliable way to go. I sometimes see ads in the newspaper advertising same-day implants (they extract the tooth and immediately place the implant).  Neither of the specialists I saw recommended that. Good luck! And while you're recovering from your oral surgery be sure to treat yourself to lots of ice cream and milkshakes! ;)

Dx 2/2011, IDC, <1cm, Stage IA, Grade 1, 0/3 nodes, ER+/PR+, HER2-
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Jul 27, 2013 08:03PM dogsandjogs wrote:

Peggy, I've been thinking of looking into implants, but have very severe osteoporosis. That probably means I  can't do it.  I have very few teeth left - no molars on the bottom at all and only one corner tooth. How expensive are implants?

Dx 11/1982, IDC, <1cm, Stage I, Grade 2, 0/17 nodes Surgery 11/17/1982 Lymph node removal: Right; Mastectomy: Right; Reconstruction (right): Nipple reconstruction Dx 11/15/2010, IDC, <1cm, Stage I, Grade 2, 0/1 nodes, ER+/PR+ Surgery 2/11/2011 Lumpectomy: Left; Lymph node removal: Left, Sentinel
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Jul 27, 2013 09:09PM - edited Jul 27, 2013 09:11PM by Patricia3

dogsandjogs, If you have very few teeth left, I doubt that a prosthodontist would recommend single implants.  I had only front teeth and very poor gums - the remaining teeth were un-salvagable.  I have full implant-supported bridges - 5 implants upper and lower supporting the bridges. You'd need to see a specialist to advise of the possibility in your case.

Expense - HUGE! 7 years ago I paid around AU$80,000.00 - yeh! $80,000.00. (I was fortunate to receive an inheritance around that time)

An alternative could be 4 implants which support dentures - the dentures clip on to the posts - which would be better than normal dentures and much cheaper alternative.

I decided on the implants when I was about to lose one of my front teeth and thought the same as you but to have only one implant would have been a complete waste of time and money - and I doubt that they would have done it.

This was 7 or 8 years ago - much will have changed

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Jul 28, 2013 09:27AM dogsandjogs wrote:

Thanks so much for all the information. Wow, that is really expensive--

I will ask my dentist about 2 implants with dentures. I do have molars on top, so would only need two bridges on the bottom as the bridge could hook onto the front teeth.. Hope my bones can accommodate the implants.

Thanks again for telling me the options available-

Dx 11/1982, IDC, <1cm, Stage I, Grade 2, 0/17 nodes Surgery 11/17/1982 Lymph node removal: Right; Mastectomy: Right; Reconstruction (right): Nipple reconstruction Dx 11/15/2010, IDC, <1cm, Stage I, Grade 2, 0/1 nodes, ER+/PR+ Surgery 2/11/2011 Lumpectomy: Left; Lymph node removal: Left, Sentinel
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Jul 28, 2013 12:38PM - edited Jul 28, 2013 12:40PM by peggy_j

dogs, I may have been wrong about osteoporosis and implants. This week I talked to my bone doctor (endocrinologist) and he said osteoporosis (or being post-menopausal or having both ovaries removed) does not impact the bone's ability to heal from a fracture or from a dental extraction or to heal from a bone graft. He said it should heal just as well and take the same amount of time.   I don't know if "severe" osteoporosis is different--you should get a professional opinion.I read somewhere that some dentists prefer to place implants if a patient has osteoporosis (vs. giving them regular dentures) because the implant can keep the jaw bone from resorbing. 

Placing a single implant costs $2000 or more (to the oral surgeon). Then you need to "restore" it, with a crown (or bridge or denture). Most insurance companies won't pay for the cost of implants. But, most insurance plans have a relatively low limit (like $1000 or $1500 per year) so with most dental treatments you may exceed that pretty quickly.

Dx 2/2011, IDC, <1cm, Stage IA, Grade 1, 0/3 nodes, ER+/PR+, HER2-
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Jul 28, 2013 04:42PM Patricia3 wrote:

Re. the cost - I had 11 teeth ( 6 front upper and 5 front lower) removed before the 11implants were placed - hospital surgery - and both my prosthodontist's surgeon and anaesthetist sure knew how to charge!! 

The total cost also included ceramic - not plastic - full replacement teeth.

As peggy said, implants are supposed to prevent more bone loss.

I've heard that a single implant in this country costs (all up) around AU$7000.

But as I said, things change drastically over 7 or 8 years.

The best of luck, whatever you decide.

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Aug 20, 2013 08:05AM - edited Aug 20, 2013 08:08PM by Moderators

You should definitely do the root canal surgery and then go for dental crown as your teeth is threatened by the large cavity. Getting an implant would be very painful to you and taking Arimidex drug after implantation would be nearly impossible.

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Aug 20, 2013 08:49AM dogsandjogs wrote:

Well, it turns out the dentist could not do a root canal. The tooth had deteriorated so much in the last year that it couldn't be saved. So it was pulled. Due to my being on a blood thinner, the area got "purple" so I went back in and he prescribed an antibiotic due to a "possible" infection.

The antibiotic was terrible; I got afibs every night, had trouble swallowing and got heartburn. Called the pharmacy. Those are all SEs she said..  The area was also painful for about 10 days.

I need some fillings too, but won't go back until the area heals completely. Even my lip got some weird white spots on it and swelled up. (SE of the antibiotic)

Dx 11/1982, IDC, <1cm, Stage I, Grade 2, 0/17 nodes Surgery 11/17/1982 Lymph node removal: Right; Mastectomy: Right; Reconstruction (right): Nipple reconstruction Dx 11/15/2010, IDC, <1cm, Stage I, Grade 2, 0/1 nodes, ER+/PR+ Surgery 2/11/2011 Lumpectomy: Left; Lymph node removal: Left, Sentinel
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Aug 28, 2013 05:52PM mamadog53 wrote:

Well the tooth has been pulled and seems to be healing okay but now I'm having pain on the opposite side of the mouth. That side has had hot/cold sensitivity since I had gum surgery over three years ago. My way of dealing with it was to chew on the other side and avoid really cold stuff. Since I can't chew on the side where the tooth was pulled I'm putting a lot more stress on the other side. This is pain that won't go away without meds. The dentist gave me 800 mg. ibuprofen and 50 mg. Tramadol. I can't take the Tramadol because it interacts with another drug I'm taking. The ibuprofen works okay but I'm taking 4 per day and feel that's excessive. I feel like I'm in dental hell. Next appointment isn't until Sept. 10th. One thing I've noticed is that the normal pain from taking Arimidex has been helped by the ibuprofen. At least something good happened. LOL Does anyone take pain meds regularly for the pain from Arimidex?

Lynn
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Aug 29, 2013 11:50AM peggy_j wrote:

Sorry to hear about your dental hell. I hate that. Regarding the hot/cold sensitivity, have you tried the sensitive toothpaste? Maybe that would help. 

Dx 2/2011, IDC, <1cm, Stage IA, Grade 1, 0/3 nodes, ER+/PR+, HER2-
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Dec 23, 2013 05:51PM forumdental wrote:

You can go ahead for getting dental implants. And also use tooth sensitive toothpaste.

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Dec 4, 2014 05:04AM ChrisKyle wrote:

You can go with dental implants process without any fear. If you have any doubt about dental implants, then check out this article http://lonestarperio.com/periodontal-treatments/dental-implants.

Best Of Luck!


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