Denosumab (Prolia, Xgeva) treatment for postmenopausal women with osteoporosis
may increase the risk of dental issues
, researchers reported, though they were mostly minor.
Can you have dental work while on Prolia?
Based on their findings, Watts and colleagues recommend that “
management of subjects with osteoporosis receiving denosumab should include routine dental care and treatment, including scaling/root planing when indicated
, since nearly 30% of subjects reported receiving this procedure and none developed ONJ as a result.”
Can prolia cause tooth loss?
Prolia may cause bone loss (osteonecrosis) in the jaw
. Symptoms include jaw pain or numbness, red or swollen gums, loose teeth, gum infection, or slow healing after dental work.
Does osteoporosis medication affect your teeth?
Osteoporosis does not directly affect the health of your teeth
, however it is actually some of the medications and treatments for osteoporosis that can have some very important and potentially damaging side effects.
Can I have a root canal while on Prolia?
Neither bisphosphonates nor denosumab drugs enter or become incorporated into the teeth themselves. So treatment such as prophylaxis, restorations, crowns, bridges,
nonsurgical root canal treatments, and nonsurgical periodontal treatment that does not place excessive pressure on alveolar ridges is considered safe
.
Can Prolia cause jaw pain?
Bisphosphonates — such as alendronate (Fosamax, Binosto), risedronate (Actonel, Atelvia), ibandronate (Boniva) and zoledronic acid (Reclast, Zometa) — and denosumab (Prolia, Xgeva)
have been linked to osteonecrosis of the jaw and atypical femoral fractures
.
Does Prolia cause gum problems?
Symptoms include jaw pain or numbness,
red or swollen gums
, loose teeth, gum infection, or slow healing after dental work.
How long after Prolia can you have tooth extraction?
identify patients where dental surgery can be safely deferred to the
5th month following the last DNB dose
; 2. communicate with the bone specialist (drug prescriber) and discuss the feasibility of delaying the following DNB dose by 1 month; 3.
Can I get a crown while taking Prolia?
For this reason if you’re taking either alendronate and denosumab and are about to undergo a dental procedure other than routine cleaning, filling or crown-work,
you should speak to your physician about suspending your medication temporarily
.
How do you increase bone density in teeth?
Maintain excellent oral hygiene through proper brushing and flossing on a regular basis
. Visit your dentist at regular intervals of six months for thorough teeth cleaning. Use toothpaste that contains fluoride in its ingredient list. Increase your calcium intake through food and supplements.
Are there any good reviews for Prolia?
Most voted positive review
My sister is a physician and she went over all the side effects with me. The only real concern is a rash since Prolia does NOT go through the kidney or liver like all the other drugs. This is by FAR the SAFEST osteoporosis medicine. And its the easiest too.
Does Prolia affect dental implants?
Osteoporosis doesn’t inherently complicate dental implant surgery, however
the medications patients take for osteoporosis can affect the healing in dental implant patients
. There are two classes of osteoporosis medications, bisphosphonates (e.g. Fosomax) and denosumab (e.g. Prolia.)
How many years should you be on Prolia?
No, there isn’t a set number of years you can take Prolia. In studies, people have safely taken Prolia for
up to 8 years
. If the drug is working to improve your condition, your doctor may have you take it long term. They’ll discuss with you the long-term benefits of Prolia and how long you should continue treatment.
How common is jaw necrosis with Prolia?
In cancer patients exposed to denosumab, the risk of ONJ varies from
0.7 to 1.9% (70 to 90 cases per 10,000 patients)
(3) and they have been reported to have a risk of developing ONJ similar to that of acid zoledronic (10).
What does osteonecrosis of the jaw feel like?
Symptoms of ONJ can range from very mild to severe. ONJ looks like an area of exposed bone in your mouth. It can cause
tooth or jaw pain and swelling in your jaw
. Severe symptoms include infection in your jaw bone.
Can osteonecrosis of the jaw be reversed?
Can doctors treat osteonecrosis of the jaw? While there is no specific treatment for ONJ,
it can heal on its own with the help of antibiotic rinses and avoiding any other dental surgery
.
Does Prolia cause weight gain?
Weight gain itself wasn’t reported as a side effect during clinical trials of Prolia
. However, some people taking Prolia did have swelling in their arms or legs. And with swelling, your body weight can be quickly increased.
Can you have dental work on Forteo?
Forteo is not FDA approved for uses other than osteoporosis, but
another possible application could be to help grow bone around dental implants
. The study appeared online in the New England Journal of Medicine Oct.
