Hi Wanda, welcome...You'll definitely need to discuss this with your oral surgeon! Since extractions are sometimes contraindicated with bisphosphonate use, you should have a conversation about this with your provider. If he/she isn't aware of this possible problem, I'd try to get a second opinion, or third if you have to. See this link about the test CTx (c-telopeptide) that explains what your score should be before attempting invasive dental procedures with bisphosphonate (Boniva, Fosamax, Actonel, and Reclast) use, The test is a simple blood or urine test to measure your bonemarkers. The results will tell the surgeon if your levels are good enough; but still make sure you don't have any other contraindications, like periodontitis, bleeding problems (Hemophelia, Von Willebrands, low platelet count (thrombocytophenia)) or some problem with jaw bone loss. Your oral surgeon should be able to assess your ability to have this or not. If your in a situation where the tooth has to be removed for infection reasons, you'll have to weigh the risk versus benefit, since infections can be very dangerous if not attended to.
Osseonews for dental professionals:
This link gives a whole page of discussions from dental professionals on invasive (implants, extractions, etc.) procedures with bisphosphonate use. If you can read all of the articles (posts) listed, at the link, that would be great, so you'll understand it.
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