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Denosumab and root canal treatment

10 REPLIES 10
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Member

Re: Denosumab and root canal treatment

Hello, I also am on Denosumab and like you I also had a broken tooth. My dentist put a cap on the tooth which works fine. The bad news is because of the extra cost of my dental care ( second cap) I have changed my Will , my teeth are now worth more than my jewellery . 

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Member

Re: Denosumab and root canal treatment

Thanks it isn’t the 1st time I have been told things that turn out to be incorrect and I find it so stressful trying to sort these things out.But for this weekend I will just enjoy family time with a big get together for my Aunt and Uncles Diamond Wedding Anniversary and try to forget all the aches and pains and stress that goes with having secondary cancer.Hope you have a good weekend .

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Community Champion

Re: Denosumab and root canal treatment

Hello again Didi, 

 

It is so frustrating when different medical staff say different things!   I am so glad to hear that you are not in pain.  I hope it all gets sorted soon.

 

Best wishes, 

 

Chick 🐣 X

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Member

Re: Denosumab and root canal treatment

Thank you Margaret that is helpful.I don’t understand why different oncologists give different length of time to be off denosumab before treatment.you would think there would be a national protocol for it.

I believe my dentist knows what she is talking about and my oncology unit (at quite a small hospital) maybe don’t come across this  very often so err on the side of caution.Hopefully I can get this sorted out soon. Didi

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Member

Re: Denosumab and root canal treatment

I have just registered on this site, and can't believe the first post I read was about Denosumab and root canal treatment, I broke a tooth on Sunday, right down to the root, spoke to my Onclogist on Tuesday and she advised that if I have to have the rest of the tooth out I would have to stop Denosumab for 4 weeks (I have an injection every 4 weeks), then the dentist would make an appointment at the dental hospital!!! Saw the Dentist  yesterday, she said that it could be repaired with a crown, as they would not want to do invasive treatment, in the meantime I have a temporary filling in. So don't have to stop Denosumab, Dentist are very aware of Cancer treatments!! Hope that helps

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Member

Re: Denosumab and root canal treatment

Thanks Bon that was very helpful..It is so difficult when oncology and dentist are telling me totally different opinions on what can be done.Hopefully someone will give me a decision soon!Didi

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Member

Re: Denosumab and root canal treatment

Thank you for your reply.I have my denosumab every 28day so don’t know what dose that makes it.My dentist and oncology nurse are telling me totally different things regarding any treatment I can have so am very stressed about it.Luckily I am not in pain from it.Didi

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Member

Re: Denosumab and root canal treatment

Hi Didi62

There was some discussion of this a few moths ago in 'bone mets so' I am giving you a link

https://forum.breastcancercare.org.uk/t5/Treatments-and-medical-issues/Denosumab-and-osteonecrosis-o...

love Bon

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Community Champion

Re: Denosumab and root canal treatment

Hello didi62,

I am assuming you are asking because of the (low) risk of Osteonecrosis in the jaw with invasive dental treatment.

I hope someone comes along soon who is on the same drug as you and can give better advice.  I am also receiving bishphosphonate treatment as a primary cancer adjuvant treatment and not as a treatment for secondary cancer.

In the meantime, for what it's worth, I am on bishphosphonate (Zometa) infusion every 6 months. Prior to starting, I had dental check as advised and all ok. 4 months later, I experienced my first abcess.

The NHS dentist I use said tooth could be saved with root canal treatment. He knew about the drug and the risk, and was confident everything would be fine. I put my faith in him, and just about 1 year later, all still ok at the moment. I did not need to change my treatment plan and have just had my third 6 monthly infusion.

My understanding is that the risk rate nay vary with dosage of denosumab. For example, it is classed as a common side effect at dose 120mg but rare at dose 60mg.

 

I would discuss with dentist and give Oncology a call to get their advice.

Best wishes,

Chick. 🐥 X

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Moderator

Re: Denosumab and root canal treatment

Hi didi62

 

You may find it helpful to speak with one of our clinical specialists on the free Helpline, 0808 800 6000.

 

Alternatively you can post a question on the Ask Our Nurse area of the Forum, were our experts can respond to you online.

 

Best wishes
Anna
Digital Community Officer

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Member

Denosumab and root canal treatment

Hi has anyone  been on denosumab and needed a root canal doing?Did you have to come off it before /after the dental treatment?my6 month check up didn’t go as I had hoped(being a terrified dental patient !).Dreading having to have it done especially as I was advised to go privately so fear cost will be very high.thanks Didi