[Mike tee]

Dental extractions while on Zometa

by Mike tee on Tue Feb 09, 2016 10:37 pm

Hello all,

I'm a newbie. Was diagnosed 2010 with multiple myeloma. Have been on Zometa 5.5 years. I need two teeth extracted, decay under crown, and a crown that fell out due to pin failure. More decay. This one has broken root.

Ok, now my dentist fears chance of necrosis. He wants to grind down, which he did on one already. Gum never grew over, tooth still exposed. Now have broken root under gum.

Dana Farber says go off Zometa 3 months and have extractions. Anyone on the Beacon have similar situation?

Necrosis is when things don't heal and can do scary things to jaw bone,

Decay and infection can't be much better. Anyone?

Thanks,
Mike

[dforeman7]

Re: Dental extractions while on Zometa

by dforeman7 on Wed Feb 10, 2016 12:04 pm

Mike,

I went off Zometa for 2-3 months for a tooth extraction and had no issues. I then resumed the Zometa infusions a couple of months after the extraction.

Hope this helps.

Doug

[coachhoke]

Re: Dental extractions while on Zometa

by coachhoke on Wed Feb 10, 2016 2:48 pm

If you have osteonecrosis of the jaw (ONJ), extracting a tooth is problematic:

1. It is very likely that the extraction procedure will result in a fractured jaw.
2. Post-op, healing is difficult to predict and may result in very long-term open wound (very likely to get infected).

So if you definitely need these extractions, it is very important that you see an oral surgeon who has experience with ONJ.

However, just because the teeth are broken doesn't mean they need to be extracted. For example, if the involved teeth have root canals, I would agree with your dentist and just grind them down, and smoothe them, rather than risk extractions.

Just like everything related to multiple myeloma is complicated, this is one more example.

Coach Hoke (retired dentist)