What happens if you need a tooth removed on fosamax (alendronate)?

Risk of bone problem: There is an increased risk of ONJ (osteonecrosis of the jaw) especially the lower jaw. There is no perfect treatment of this condition. From a dental standpoint, it is preferable to have any extractions done before starting therapy with any medications for osteoporosis in order to reduce this risk, or to discontinue the medication prior to an extraction. The dentist and physician should confer.

Tooth extraction: It is possible to have a Tooth extracted if you are taking Fosamax (alendronate) however saving the tooth may be a safer option for some patients. Your dentist or oral surgeon will take a detailed history including the length of time you have been taking Fosamax (alendronate), and sometimes a blood test is done. Discuss this with your dentist or oral surgeon prior to the extraction.

See an oral surgeon: If you are taking fosamax (alendronate) and need to have a dental procedure, such as an extraction, talk to your doctor about reducing the dose or stopping the medication at least for a while. See an oral surgeon even for a simple extraction.