Whilst on ibandronate ie tablet form bisphosphonate I have had both a tooth extraction (about 5 or so years ago) and root canal work (about 3 years ago). The extraction was done at the orthodontist at my local hospital after a referral from oncology and the root canal at my local dentist. No problems with either but I could have just got lucky as the orthodontist reckons this is a 'ticking time bomb' in his words as so many people are now on bisphosphonates. Also I am now on denosumab which is a different type of bone strengthener and I think might cause more problems as the manufacture is being very thorough with the oncology wards advising patients to get help at the first sign of any problems
Thanks, I feel a bit more confident now, as I at least can do some investigating. I will look into an endodontist, I would feel more comfortable a specialist in that particular area treating me. Let's hope my tooth calms down.. Thanks again xxx
My dentist is aware of bisphosphonates posing a risk and advised me to get the root canal done by an endodontist, to increase the odds of success (which I did). Both dentist and endodontist advised getting any extraction done by a hospital specialist. My onc said best to take antibiotics for a period after the procedure (2 weeks I think) to reduce the chance of infection.
Thanks very much for your reply. Sorry to hear you have had same problems.
what did your dentist think or advise?mine seems happy enough to give me treatment, my oncologist not so much?