Hi Tricia,
How are you??
Your question is something that is on a lot of patients minds. Although I can't give you personal advice, the recent recommenations from ADA is that all patients who have had previous tx with biophosphonates seriously consider not having any oral surgery. You need to see an oral surgeon to determine your risk of necrosis of your jaw bone after extraction.
You can email me your specifics if you want me to look at your tooth. Is there any alternative treatments to extracting the tooth. There is also something called hyperbaric therapy to prevent and manage the osteonecrosis of the jaw. My suggestion would be to get multiple opinions and go to someone who is very knowledgeable about this.
You can send me an email at
saxenachetana@yahoo.com if you need any more info.
Good luck,
Anne