I've had 2 teeth out since starting to take alendronic acid. Both done at the dentists, but the first time my dentist spoke to the local hospital's dental department for advice. I had to take about 12 antibiotic tablets, go home for about an hour, then go back for the extraction. After that I had to take the antibiotics for about a week.
I've got an appointment for a wobbly tooth to be taken out tomorrow so I'm expecting the same again.