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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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When Should Medicines For Osteoporosis Be Stopped Before Tooth Extraction?

I am a 67 year old woman - I saw my dentist last week with a wisdom tooth that may need extraction. During our conversation about my current health and meds I told my dentist I had been diagnosed with osteoporosis. He cautioned me that I should not take certain osteoporosis drugs because of the possibility of severe jaw and dental problems. I am confused what I should do. I researched taking Reclast because of the once a year convenience. I must have the wisdom teeth out should I wait a several months or even longer before taking any osteoporosis meds?
Mon, 11 Sep 2017
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Dentist,  's  Response
Hi,
Welcome to Healthcaremagic.com.

I had gone through your question I can understand your.
Reclast is a bisphosphinate group of drugs called zaldoranic acid.

A combination of old age (above 50) and the Reclast drug can lead a disease called Bisphosphinate associated necrosis of Jaw. Which is highly bone infectious disease and can be fetal too.

Actually this drug decreases blood flow to the jaw bones, so if any trauma happens to the bone it will not heal easily. If wound will remain there, as in your case tooth socket and will not heal. It is vulnerable to infection and necrosis of bone. Therefore, can be dangerous.

So it is recommended that you must stop or complete your treatment of osteoporosis first then go for extraction.

Hope you will understand my opinion also provide your feed back and write to us if you need further clarification.

Regards
Dr Muzaffar
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When Should Medicines For Osteoporosis Be Stopped Before Tooth Extraction?

Hi, Welcome to Healthcaremagic.com. I had gone through your question I can understand your. Reclast is a bisphosphinate group of drugs called zaldoranic acid. A combination of old age (above 50) and the Reclast drug can lead a disease called Bisphosphinate associated necrosis of Jaw. Which is highly bone infectious disease and can be fetal too. Actually this drug decreases blood flow to the jaw bones, so if any trauma happens to the bone it will not heal easily. If wound will remain there, as in your case tooth socket and will not heal. It is vulnerable to infection and necrosis of bone. Therefore, can be dangerous. So it is recommended that you must stop or complete your treatment of osteoporosis first then go for extraction. Hope you will understand my opinion also provide your feed back and write to us if you need further clarification. Regards Dr Muzaffar