Hi,
I am interested in having a dental implant to replace a front incisor that required extraction. My dentist is reluctant to consider this because I have been taking Fosamax for the past five years. Is it true that you can’t have dental implant surgery while taking this drug?
-Alex in Boston
Dear Alex,
There is a slightly increased risk of serious local bone problems when undergoing bone surgery (including dental implant surgery) while taking Fosamax (generic name: alendronate). According to information published by the National Institutes of Health patients who are prescribed alendronate are advised to complete any jaw surgery before beginning treatment with the drug:
“You should know that alendronate may cause serious problems with your jaw, especially if you have dental surgery or treatment while you are taking the medication. A dentist should examine your teeth and perform any needed treatments before you start to take alendronate. Be sure to brush your teeth and clean your mouth properly while you are taking alendronate. Talk to your doctor before having any dental treatments while you are taking this medication.”
Although the risk is not great, the potential complications are serious, so it is important to be cautious. If your physician approves, you may be able to temporarily stop taking the Fosamax and work around it. This will involve close collaboration between your primary care doctor and the oral surgeon who would place the implant. If your personal dentist does not feel this is a good option for you, it’s probably best to heed his or her advice. A more conservative approach, such as an encore bridge or traditional dental bridge, may be a safer choice.
See our main website for more information about dental implants.