Full Answer
Can I have a root canal while on Zometa?
Before any other surgery, you have to be taken off of the Zometa for a month or two. Check with your onc to be sure. Routine dental care is okay and should be done. Unfortunately, I had a tooth go bad while on Xgeva (alternative to Zometa). Root canal did not work.
Is it safe to have my teeth pulled for Zometa treatment?
Zometa has an adverse effect on the jaw and weakens it. I had to have a full dental exam prior to beginning my treatment and was told that tooth extractions are risky due to the jaw not healing appropriately.
What is the recovery from a wisdom tooth extraction on Zometa like?
I'm also on Zometa, a dental exam revealed a problem upper wisdom tooth that needed to be extracted and was....The recovery from the extraction was normal, although the extraction itself was somewhat difficult as wisdom teeth can be.. Thanks for the response. Did your jaw heal ok?
How long does Zometa stay in your system?
I believe Zometa stays in the system for ten yrs. Expand... after use, or it's about ten years before you don't have to worry much about it. My endodontist knew all about it.
Can you have dental work done while on Zometa?
It is important that you tell all of your doctors that you are receiving zoledronic acid injection, including your dentist. If you are having dental procedures while receiving this medicine, you may have an increased chance of having a severe problem with your jaw.
Does Zometa affect your teeth?
A dental condition called jaw osteonecrosis has been reported in some patients being treated with Zometa or with other drugs in the same class as Zometa. You may need to have dental treatments completed before starting it.
When can you have dental work after Reclast infusion?
To minimize a small risk of jaw infections, avoid scheduling your reclast in close proximity (within 6-8 weeks) of major dental procedures (not including routing teeth cleaning), or while you have an oral infection or toothache.
How does bisphosphonates affect dental treatment?
Although bisphosphonates have been proved beneficial for many metabolic bone diseases but due to their action on osteoclast, they impair bone healing and remodelling and this has resulted in increased risk of development of osteonecrosis of jaw (ONJ) following surgical dental procedures like extraction or implant ...
How long does Zometa stay in system?
Zoledronic acid medication is a long-acting drug. As such, it stays in your body longer than 12 months (probably more than 24 months). Therefore, delaying your treatment for a number of months will not put you at a higher risk of sustaining fragility fracture nor cause significant decline in your bone mineral density.
How common is jaw necrosis from Zometa?
The risk of zoledronic acid causing osteonecrosis of the jaw in people with cancer in their bones, the study found, is about 1% after a year of being on the drug, 2% after 2 years, and 3% after 3 years.
Does zoledronic acid weaken the immune system?
In addition to its effects on bone cells, ZOL has profound effects on the immune system, including a plethora of immune cell subsets expressing the mevalonate pathway enzymes, leading to a general increase in anti-tumour immunity [65].
Can you take ibuprofen after Reclast infusion?
Flu-like symptoms may be reduced by taking acetaminophen or ibuprofen after the treatment. If any of these effects worsen or last more than 4 days, tell your doctor or pharmacist promptly.
How do I stop Reclast side effects?
Pharmacist tips for zoledronic acid (Reclast) Taking medications with the same active ingredient at the same time can raise your risk of side effects. Eat and drink normally on the day of your infusion. Drink at least 2 glasses of water within a few hours before your infusion to help prevent kidney damage.
When do you stop taking bisphosphonates before dental surgery?
Objective. Medication-related osteonecrosis of the jaw often occurs after tooth extraction; therefore, the withdrawal of antiresorptive agents for 2–3 months before invasive dental procedures is recommended, despite the lack of evidence on its effectiveness.
When can I stop using bisphosphonates before tooth extraction?
If systemic conditions permit, the clinician may consider discontinuation of oral bisphosphonates for a period of three months prior to and three months following elective invasive dental surgery in order to lower the risk of BRONJ.
What are the signs of osteonecrosis of the jaw?
What are the symptoms of ONJ?pain or swelling in the mouth.non-healing of a tooth socket after removal of teeth.loosening of teeth.an area of exposed bone in the mouth.poor healing or infection of the gums.numbness or the feeling of heaviness in the jaw.discharge of pus.
How long after Zometa extraction do you take antibiotics?
The only precautions we had to take was for an oral surgeon to do the extraction rather than a dentist. I also had to take antibiotics for 10 days after the extractions. The oral surgeon scheduled the extractions for a week before I was due for another Zometa infusion. That way the concentration of the Zometa was, apparently, lower.
Why do you have to tell your dentist about a tooth root canal?
Oncologists want you to tell your dentist because the dentist would try to do the least damage to the jaw bone by giving you a root canal and not damaging jawbone surrounding the tooth root as happens when teeth are pulled.
Can you get necrosis of the jaw from antibiotics?
If you do not have necrosis of the jaw right now, I don't know why they would be so adamant that you cannot have extractions.
Can Zometa cause bone death?
My understanding is that biophospates such as Zometa, particularly when done with an IV, does cause a risk of ONJ or "bone death.". It is not caused by infection, but rather the bone is replaced with the biophosphates, and therefore the blood vessels within the bone are not there, so the bone will be unable to heal.
Zometa
days after having a zometa infusion. I had my faslodex shots last Saturday and a zometa infusion...
Zometa
My onocologyst had suggested zometa, bone strengthener. I do have 2 small bone leisions. From last...
Zometa
Ibrance exgeva faslodex for the past year. My onc want me to start zometa next month. What sort of...
Zometa - Issues mouth & jaw
months and gave a Zometa infusion. First one (12/18)I had sore muscles, mouth pain and jaw pain for...
Zometa Plus Six Months
Had a bad reaction to my first Zometa infusion six months ago. It's time for another round. I have
How long after a dental shot can you get a tooth graft?
The rule of thumb is to wait 3 months after the most recent shot before undergoing invasive dental treatment, & 3 months after a full recovery before resuming treatment. I think that 6 months is safer. My dentist says that the stuff hangs around forever, so the risk of necrosis of the jaw never quite goes away.
What is root planing?
Root planing is meticulous scaling of the root surface, including under the gumline. Curettage is intentional stripping of the epithelium from the inside of the pocket between the tooth and gum. The idea is to both remove calculus (tartar) from the root and to remove the inflamed tissue lining the pocket.
Does Zometa weaken your jaw?
Zometa strengthens my bones due to lesions on the spine. Zometa has an adverse effect on the jaw and weakens it. I had to have a full dental exam prior to beginning my treatment and was told that tooth extractions are risky due to the jaw not healing appropriately. Three weeks ago, I cracked a tooth and a root canal or crown was not an option ...
Can a tooth socket be filled with a clot?
Yes, the empty tooth socket filled in with a clot which slowly solidified into gum / scar tissue and then bone....No problems.. dentaltwin 2 years ago. Any medication in the bisphosphonate class (and some other drugs intended to strengthen bones, such as denosumab/Forteo) carry a risk of osteonecrosis of the jaws.
Is root canal treatment safe for MRONJ?
Generally speaking, root canal treatment (done judiciously) is supposed to be pretty low-risk for MRONJ. So-called "deep cleaning"--the risk I suppose is there, depending on just how "deep". It's the exposure of bone (in the mouth, which confers a risk of infection) that will need consideration.
Is Zometa a bisphosphonate?
The risk is greater with IV bisphosphonates such as Zometa (Reclast-zoledronic acid) or pamidronate (Aredia) than with oral bisphosphonates. But the overall risk is still rather small, but increases with length of therapy.
What are the side effects of Zometa?
Common side effects of Zometa include: hypophosphatemia, hypokalemia, and hypomagnesemia. Other side effects include : hypocalcemia. See below for a comprehensive list of adverse effects .
Can Zoledronic acid cause swelling?
Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor or nurse immediately if any of the following side effects occur while taking zoledronic acid: large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs.
Can osteonecrosis cause cancer?
Cases of osteonecrosis (primarily of the jaws) have been reported, predominantly in cancer patients taking this drug. Many of these patients had signs of local infection including osteomyelitis, and the majority of the reports refer to cancer patients following tooth extractions or other dental surgeries.
Does Zoledronic acid need medical attention?
Side effects not requiring immediate medical attention. Some side effects of zoledronic acid may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.
Does Zometa cause fever?
Fever is the most common adverse effect associated with zoledro nic acid (the active ingredient contained in Zometa) infusion. Flu-like syndromes including fever, chills, bone pain, and/or arthralgias and myalgias have also occasionally been reported.
How long does a lesion in the jaw last?
There also may be feeling of numbness, heaviness or dyesthesia of jaw. However, lesion may remain asymptomatic for weeks or months. Occasionally, pain in jaws may be the only symptom without any evidence of radiological abnormality. The lesion may also become secondary infected with actinomyces.14. 2.3.
What is bisphosphonate associated osteonecrosis of jaw?
Clinical presentation of bisphosphonate associated osteonecrosis of jaw. Osteonecrosis of jaw is also known as avascular necrosis of bone or osteochondritis dissecans. It leads to bone pain, loss of bone function and bone destruction resulting in impairment of blood supply.
Can bisphosphonate be used for dental extraction?
Patients in which dental extractions are unavoidable should be first consulted with the prescriber of bisphosphonate therapy for possible temporary interruption of drug if beneficial. Extraction should be done as atraumatically as possible and flap raising should be avoided. Sterile technique has to be followed.
Is bisphosphonate induced osteonecrosis a treatment?
At present, there is no effective treatment for bisphosphonate induced osteonecrosis, so prevention is extremely important.
Can you get Zoledronic Acid injections while having dental procedures?
If you are having dental procedures while receiving this medicine, you may have an increased chance of having a severe problem with your jaw.
Can you take other medicines with zoledronic acid?
Do not take other medicines unless they have been discussed with your doctor. This includes prescription (eg, other medicines that also contain zoledronic acid) or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Proper Use. Side Effects.
Can you use zoledronic acid to get pregnant?
Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away. You should not use other medicines that also contain zoledronic acid, such as Reclast® or Zometa®.
How long does it take to get out of the office after a root canal?
You're more likely to work yourself up and suffer from anxiety than be in serious pain during the procedure. You'll be in and out of the office in about an hour and a half.
What happens if you have a root canal?
These include infections, the pulp not being entirely removed, or the tooth cracking if you neglect to follow proper aftercare procedures. Contact your dentist if your pain or swelling worsens after the first couple of days.
What is a root canal?
A root canal, despite the intimidating popular opinion, is a fairly simple procedure. It's used for teeth that have decay within the pulp. By removing the decay, a tooth can often be saved. Your teeth are comprised of a few different things rather than just being a hard piece of bone. The outer layer - called enamel - is one ...
How long does it take for your mouth to go numb after a syringe?
Your mouth is still going to be numb for at least a few hours after you've had your procedure. During this time, it's important that you don't eat anything that needs chewing or drink anything hot.
Is root canal surgery painful?
It's quite likely that you're going to be more stressed in the lead up to your root canal than afterward. Nowadays, the procedure is relatively painless, leading only to mild discomfort and pain for a few days .
Can you use a crown for a root canal?
In most cases, the filling used in a root canal is only for temporary usage - and you'll end up needing a crown at some point. This is due to the damage incurred to the tooth during the procedure.
Do root canals hurt?
Root canals hurt, there's no doubt about that. Even with the proper anesthesia during the procedure, you're going to be in pain afterward. Proper aftercare is essential both for pain management and for preventing any infection. If you've just had or you're planning on getting one of the most popular procedures in dentistry, ...