Dental opinion for Zometa: Hi everyone... - Advanced Prostate...

Advanced Prostate Cancer

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Dental opinion for Zometa

Rodeoz15 profile image
8 Replies

Hi everyone, I understand that a dental opinion is needed when taking Zometa because osteronoposis of the jaw is a side effect.

What I wanted to know was what does a dentist look for when examining a patient. Is it possible dental work which might be needed as it is not advisable to get dental work done while on Zometa, or do they also look for anything else like exposed bones in the jaw? What I wanted to know (and which I couldnt find on Google) was what is it in the jaw that makes a person high risk for osteoporosis

Thank you in advance

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Rodeoz15 profile image
Rodeoz15
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8 Replies
pjoshea13 profile image
pjoshea13

My understanding is that the dentist is simply looking at the probability that an invasive procedure will be required in the near future. (Excluding fillings, & cleanings.)

If so, the best option might be to take care of any remedial work, wait at least 3 months after recovery before repeating the dental checkup & starting Zometa.

{As I was writing, it occurred to me that we have at least one actual dentist in the group. Hopefully you will get an official opinion.}

-Patrick

pjoshea13 profile image
pjoshea13 in reply topjoshea13

For anyone interested in the risk of osteonecrosis of the jaw & Zometa, here are the 113 PubMed hits for <prostate zometa osteonecrosis jaw>:

pubmed.ncbi.nlm.nih.gov/?te...

Here is a shorter selection (5 hits), based on <prostate[title] zoledronic[title] osteonecrosis[title] jaw>

pubmed.ncbi.nlm.nih.gov/?te...

Rodeoz15 profile image
Rodeoz15 in reply topjoshea13

Thank you. This was helpful.

tango65 profile image
tango65

They should look for infections, or lesions which could lead to infections and teeth extractions or dental surgery procedures.

dockam profile image
dockam

Hey, I'm one of the dentists in this HU forum. A dental screening with xrays would involve making sure that the remaining teeth don't need to be extracted, that any previously root canaled teeth aren't reabcessed, that existing removable appliances e.g. full dentures, partial dentures are well fitting and don't cause sore spots on the ridge.Any questionable teeth should be extracted prior to any osteoporosis meds.

My best to you

Rodeoz15 profile image
Rodeoz15 in reply todockam

Thanks a lot!!

j-o-h-n profile image
j-o-h-n in reply todockam

You're a God sent........... thank you!!!

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 02/01/2022 7:26 PM EST -Lunar New Year: The Year of the Tiger

Foldem profile image
Foldem

Kaiser sent me to an orthodontist to get fitted for a “stent”. Basically it’s a fitted piece on your lower teeth to protect your jaw while you sleep, aiui. I like it a lot

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