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Medication That Does Not Cause Osteonecrosis Of The Jaw

A MyOsteoTeam Member asked a question 💭
Peru, IA

I have osteopenia of more than 10 years duration. My MD would like me to take Fosamax. I have bad teeth--I receive regular dental care and floss and brush with prescription strength fluoride toothpaste like I'm supposed to, but I have numerous crowns/fillings, 4 implants, I've had several root canals and broken teeth. I'm wondering what besides Prolia or biphosphanates I could take. I am afraid of osteonecrosis of the jaw--I'm also afraid of breaking a hip. I take calcium and Vit D supplements… read more

May 29, 2018
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Answer Summary

Members shared deep concerns about medications for osteopenia and osteoporosis, particularly the fear of osteonecrosis of the jaw, with many... Read more

Members shared deep concerns about medications for osteopenia and osteoporosis, particularly the fear of osteonecrosis of the jaw, with many describing difficult decisions between protecting bone density and preserving dental health, especially those with implants, extractions, or existing jaw problems. Several members offered alternatives to bisphosphonates, including Forteo and Tymlos for bone building (though typically followed by Prolia or Reclast), vitamin K2 to improve calcium absorption, and pursuing bone health through diet and exercise alone, with some emphasizing the importance of dental clearance before starting any treatment. A recurring theme was the frustration of medications that treat one condition while creating another, the lack of clear answers from medical experts about jaw bone risks, and the importance of doing thorough research, asking lots of questions, and advocating for yourself when navigating these complex and scary treatment decisions.

A MyOsteoTeam Member

I was on reclast infusion yearly for 5 years. It took me from osteoporosis to osteopenia. Had to stop because of getting all my teeth pulled for total implants. It's been a long haul with a few additional issues,due to it being free,through a teaching Naval Hospital, and I may have to have another small surgery adding tissue from the roof of my mouth to an area of my gum. However, my bone loss is back to increasing and also in my jaw. I've now been off my infusions for over 3 yrs. I can't go back on at least until I'm done & if I get this last surgery. I dont know and neither do the experts know FOR SURE if it decreases the bone in the jaw or not.

June 22, 2018
A MyOsteoTeam Member

Thank you to all for your responses. If anyone takes anything shown to increase bone density without causing jaw necrosis (or GI bleeds--another story), please post it here.

September 13, 2018
A MyOsteoTeam Member

I was told that the prolia could cause my jaw bone to die - in other words, nasty side effect. However, everyone is different, I would ask your doctor and dentist what they suggest. I am a firm believer in doing research and asking LOTS of questions. I think if I had done that in the past I would not have such severe bone loss. I was -3.6 and now -3.1. Wish you all the best and I hope you have a wonderful day!

July 23, 2018
A MyOsteoTeam Member

I just read a book saying that osteopenia is not a disease and possibly should not indicate that you should take op meds. Check into a book called Dr.Lani's No Nonsense Bone Health Guide: The Truth About Density Testing, Osteoporosis Drugs and Building Bone Quality at Any Age.

July 4, 2018
A MyOsteoTeam Member

My rheumatologist and dentist told me not to have any teeth extracted until I was off prolia. I have been on prolia for 4 1/2 years. My only real issue is I seem to sick all the time - but I also work in an elementary school, germ city! I have been told it would lower my immune system. Otherwise, I have had good results.

June 26, 2018

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