Ibandronic acid and fracture

I'm in the U.S., and protocols among medical practioners, including dentists, may vary from those in U.K. That said, I don't think the meds are significantly different. The thing about bisphosphonates, of which ibandronic acid is one, is that they have a half-life -- meaning they remain in one's system -- for many years. So it's not possible just to discontinue the med, e.g., for a week or two, and be reassured that this will prevent any adverse effect. You don't say for how long you've been taking the med; some data indicate that the greater risk for osteonecrosis of the jaw (ONJ) increases with long-term use. "Long-term" is generally considered to be around three years or more. Another factor that increases risk is the type of dental procedure being performed. It would be important to have a dentist who is both knowledgeable about and experienced with patients who have taken osteo meds. In the U.S., dentists seem to be becoming more aware of the risks of osteo meds. Some are apparently even making patients who take/have take them sign waivers, indemnifying them from liability. While this is all worrisome (and among the many reasons why I refuse to take an osteo med), statistically you are likely to do OK. However, I would definitely not take a dose of the med in any proximity to the dental procedure. And, per above,would have a conversation with the dentist about it. Best of luck.

JazziJ, many apologies. Idiotic of me not to realize you were talking about a nondental issue! Have no idea as to the answer to this. I'd ask both the orthopedic surgeon and the medical practice that administers your osteo med. Again, sorry for my mistake.

I have severe osteoporosis and 4 compression fractures in my spine.  I have had an Aclasta infusion which I preferred to taking tablets.  It is so easy and is supposed to stengthen my bones.  However, my main concern is my compression fractures.  My GP referred me to the Orthopaedic Dept at our local hospital, but they have turned me down as my condition is not severe enough and they have more cases than they can handle.  I found a moderately uninvasive procedure which involves making an incision over the fractures and scraping them and fixing them together which can be done under a local anaesthetic and you need to remain on the table for around 2 hours and then you can go home.  Will keep on at my GP to refer me again as I am in a lot of pain.  The joys of old age.  Good luck.

 

Jazz1J  Take a look online about this as there is a lot of information on what is recommended and what is not when taking this. Also ask your doctor. It is better always to find out about these things rather than to just go ahead. Also in the Notes for Patients you might find something about this. I hope it heals soon.