HER2 Support Group Forums - View Single Post - To Anne, our dentist: Biosulphonates and osteonecrosis

jaykay · 03-01-2013, 04:56 AM

I had been on Actonel, Fosamax, injection of Reclast for quite a long time due to early menopause and osteopenia due to Femera and just bad genes.

That being said, I had full mouth gum surgery 20+ years ago and am anal about my teeth. I've had 2 implants with bone grafts over the past 4 years and have had no problems. Plus lots of "regular" crowns. My dentist is a periodontist/implant specialist and is very well versed in all the issues and ramifications around biophasphates. I trust him implicitly. Plus I'd rather have "teeth" than holes in my mouth which can cause other issues.

Just make sure you have someone at the top of his/her field. My biggest fear with starting chemo was that I was going to lose a cycle of teeth-cleaning - I go every 3 months. But so far so good.

The biggest concern with any kind of extensive dental surgery is smoking. My dentist wouldn't do anything with implants until I had stopped smoking for at least a year.

03-01-2013, 04:56 AM	#11
jaykay Senior Member Join Date: Oct 2012 Posts: 646	Re: To Anne, our dentist: Biosulphonates and osteonecrosis I had been on Actonel, Fosamax, injection of Reclast for quite a long time due to early menopause and osteopenia due to Femera and just bad genes. That being said, I had full mouth gum surgery 20+ years ago and am anal about my teeth. I've had 2 implants with bone grafts over the past 4 years and have had no problems. Plus lots of "regular" crowns. My dentist is a periodontist/implant specialist and is very well versed in all the issues and ramifications around biophasphates. I trust him implicitly. Plus I'd rather have "teeth" than holes in my mouth which can cause other issues. Just make sure you have someone at the top of his/her field. My biggest fear with starting chemo was that I was going to lose a cycle of teeth-cleaning - I go every 3 months. But so far so good. The biggest concern with any kind of extensive dental surgery is smoking. My dentist wouldn't do anything with implants until I had stopped smoking for at least a year. __________________ March, 2000: 48, Post menopausal (5 yrs HRT) Left breast, IDC 3mm/DCIS 1.6cm, ER+/PR-/Her2+++, mod differentiated, MIB low, lumpectomy, node neg via SNB, rads=33 Stage 1a June, 2000: Tamox 4.5 years,Femara for 5 years (end in Jan. 2010) Sept, 2012: 61, Via mamm, ultrasound, biopsy, right breast, 2.3cm tumor, ER+/PR-/Her2+++, poorly diff, KI67 60-70% BRCA 1 and 2 negative October, 2012: Bi Mast with tissue expanders, port placement Final Path: IDC 2.8cm, DCIS, 1/4 sentinal nodes positive (@#$%). Stage IIB Nov 29, 2012: Begin TCH/6x/every 3 wks, H for 1 year/every 3 weeks. March 14, 2013: Finished chemo April 9, 2013: Begin radiation 28x May 22, 2013: Finished rads June 1st, 2013: Started Aromasin for 5 yrs. July 15, 2013: Switched to Letrozole (Femara). Probably for the rest of my life October 16, 2013: Exchange surgery October 31, 2013: Finished Herceptin December 5, 2013: Port removed Glad this year is over!