Tooth extraction while taking alendronic acid - PMRGCAuk


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Tooth extraction while taking alendronic acid


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.

6 Replies

Thank you for posting this. It makes it clear the sort of precautions that need to be taken whilst on Alendronic Acid and invasive dental treatment.


Good luck with the treatment. I am currently trying to nurse a crown and wobbly tooth back to life but suspect it will be extracted if I go to dentists so hanging on for now. Thanks for info. Not in aa but other immunesuppressant so prob similar outcome.


How strange, in the contect of AA I would have thought that the possibility of the bone around the socket not healing properly was more of a potential problem than infection.

Soraya_PMR in reply to PMRpro

I’m not getting the AA/AB connection either.

AB for infection yes, and I have to have 3 day AB Cover for anything, even hygienist clean (mitral valve).

Don’t get the 12 tablets either (3g?) getting blood levels to therapeutic levels, but over and above that?

PMRproAmbassador in reply to Soraya_PMR

Ah well - bet it remains a mystery...

I too had to have a tooth extraction and am taking Alendronic Acid . He wouldn't do it straight away as he wanted to confer with a colleague and do some research. After that he took it out and gave me a mouth wash called Curasept to use daily for two months. He did a quick examination after 2 weeks and four weeks to check it was healing. I was pleased with his caution as my husband has Osteocrenosis of the jaw, a leftover for intensive radiotherapy. He can only have extractions done in hospital and they prefer the teeth to just come out naturally rather than by a procedure. In the current climate around the over use of antibiotics it is a little surprising unless there is some infection present. Hope your gum heals well. Best wishes.

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