[Susan]

Hi: I'm a dental hygienist, and I know at our office, when someone is on any bisphosphorates (which now days, effects a large number of patients), the only issue we have is for extractions. We always refer any patients on those drugs to an oral surgeon, and they will do a blood/urine test to see if they would be a candiate for an extraction. We actually only have one surgeon in the our area that will be willing to do surgery w/ the test, so just hope we don't need any teeth pulled! But as a far the bisphosphorates affecting having your teeth cleaned, routine fillings/crowns, that is not problem. But make sure you let your dentist know that you are on any zometa- like drugs. The drug Forteo is a different type of drug than the zometa.