Asked by M.
Tooth Infections Related To Reclast
I have had 2 Reclast treatments. Recently, I had severe tooth pain & swelling of gum near the tooth. The dentist took an x-ray and extracted the tooth. He said it could have developed into osteonecrosis of the jaw. He has seen patients who did, and it is horrible! Thankfully, mine wasn't that bad. He said if I had had 3 treatments of Reclast, he would not have been able to assist me. Also, he told me not to get Reclast, but it is ok to take something orally, such as Boniva. The cost of pulling the tooth: $477.00, and they didn't accept my insurance. Anyone else experiencing similar tooth problems? And, can anyone give more advice? Thank you. I look forward to reading your responses.
Hi M Welcome! Here's the info on this topic from the American Dental Association on Osteonecrosis of the Jaw (ONJ). Please read and pass this along to your dentist for verification.
If your tooth needed to be extracted, then you would need to have that done, like having a serious infection; but normally a tooth isn't extracted after taking a bisphosphonate unless it's absolutely necessary. It sounds like this was your situation, so I would just keep an eye on the incision to be sure it heals and closes properly.
I don't know anything about the cost of an extraction, so I'm sure you looked into the price and got a reasonable one.
Hopefully some of our members will chime in and give you some advice. I took Actonel, for 1.5 years, and my dentist/oral surgeon will not do an extraction, unless the infection/problem is very serious in nature. For instance, implants or cosmetic dental work would not be considered "serious in nature," so this type of work would be contraindicated after taking "any" bisphosphonate (Boniva, Actonel, Reclast and Fosamax).
Talk to your primary care physician about taking an oral bisphosphonate since they are very similar to the intravenous version. I disagree with your dentist on the number of infusions it would take to cause this problem, but I'm not a Dentist or Physician, so check with yours and follow through with a second opinion. if you can, check with an oral surgeon familiar with ONJ.
The last link in the posted artical above is unavailable; so see this one from the ADA for clinical resources on ONJ and dental/oral surgery information.
Best of luck to you, and if you have another question, feel free to post again! We hope your healing process goes very well. Take Care!