Zolendronic Acid good or Bad for osteoporosis and dental implants
Posted , 4 users are following.
The lower denture of my mother aged 79 years does not fit properly because of gum recession. The maxillofacial surgeon in India recommended her denture implantation. But when I told the doctor that she has taken the 3rd injection of Stoplos One (zoledronic acid) in India on 28.09.2019 and the 1st injection of Olimab (Denosumab) on 01.03.2020, he refused to do the denture implantation as he said it will lead to osteo-necrosis of the jaw or any other serious damage to the bone.
My mother’s recent Bone Mineral Density Test done on 23.02.2020 shows the following:
Site RegionT-ScoreBMD
Left forearmRadius 33%-4.90.450g/cm2
Right forearmRadius 33%-3.50.573g/cm2
Dual FemurNeck Left-1.70.797g/cm2
Dual FemurNeck Right-1.90.780g/cm2
AP SpineL1 - L4 -1.41.006 g/cm2
The orthopedic doctor has prescribed Olimab S.C. 60 mg injection (Denosumab) found in India . He also prescribed to continue Stoplos One (Zoledronic acid) for 2 more years. My mother has already taken Bonmax Pth (teriparatide) injection for 2 years from October 2015 to September 2017 and Stoplos One (zoledronic acid) for 3 years from October 2017 to October 2019.
I want to know now whether Bisphosphonates like zoledronic acid increases the risk of fractures, irregular heart beat and osteonecrosis of the jaw. Does zoledronic acid suppress bone remodeling which is supposed to stop bone loss. Does low bone density increases the risk of fractures or it is not? A YouTube video on “The end of Osteoporosis” says that Bone Mineral Density is not a good predictor for fractures. Bone density does not equal bone quality. According to the video low bone density does not increase the risk of fractures. Osteoporotic fractures may happen to persons having good bone mineral density.
0 likes, 9 replies
amkoffee sumit30306
Posted
Are you sure you understood correctly? I would think that it was because of her osteoporosis not because of the meds she takes for it.
lynne73895 sumit30306
Posted
My understanding is that bisphosphonates can lead to fractures if taken for too long. 5 years used to be the cut off point, although some folk now say 3 to 4 years is a safer option.
They can also be linked to ONJ if invasive treatment is undertaken, but this is fairly uncommon. I went for 2 dental implants while my arms were in plaster and my dentist immediately asked me whether I was on bisphosphonates. As it happened I wasn't, so she was happy to go ahead with them.
sumit30306 lynne73895
Posted
Is the same case goes for the Denosumab 60 mg injection also? After bisphosphonates (zoledronic acid) my mother will continue Denosumab 60 mg injection for another 4 years as per Doctoctor's prescription. She already started her first Denosumab injection on 1st March, 2020. Then when will she go for her lower jaw denture implants? Her lower denture is not tightening because of gum recession. So lower denture implant is absolutely must for her to chew food properly according to maxillofacial surgeon in India.
Anhaga sumit30306
Posted
Dentists do not like to do dental work when a patient has taken bisphosphonates or denosumab because of exactly what the dentist said, the possibility of jaw necrosis when the dental surgery 'injures" the bone. That's why when it is known that dental work needs to be done they like to get it out of the way before bisphosphonate therapy.
Because your mother needed another medication to maintain the improvement provided by teriparatide she was prescribed the zoledronic acid but I don't know why they would add another drug. Are they really giving her the zoledronic acid and the denosumab at the same time (I don't mean like simultaneously on the same day or anything)?
Has she had a denosumab treatment already?
sumit30306 Anhaga
Posted
After 2 years teriparatide course (Bonmax Pth injection) starting from 1st October, 2015 and ending in 1st September 2017, Doctor has prescribed Zoledronic acid 5 mg (Stoplos One)for her. She has taken three injections of zolendronic acid starting from 2nd October, 2017 till 28th September 2019. She thought the course was over . But Orthopedic doctor told us that Zoledronic acid injection can be continued the for another 2 years i.e. 1st October 2020 and 1st October 2021 (max. 5 years). Apart from this injection Doctor has also prescribed Denosumab 60 mg injection (Olimab) for her to be continued for 4 years. She took the first Denosumab injection on 1st March, 2020 and will again take the injection on 1st September, 2020.
My mother’s recent Bone Mineral Density Test done on 23.02.2020 shows the following:
SiteRegion T-Score BMD
Left forearm Radius 33% -4.9 0.450g/cm2
Right forearm Radius 33% -3.5 0.573g/cm2
Dual FemurNeck Left -1.7 0.797g/cm2
Dual FemurNeck Right -1.90.780g/cm2
AP Spine L1 - L4 -1.41.006 g/cm2
sumit30306 Anhaga
Posted
She started denosumab injection from 1st March , 2020 and will take the second denosumab injection on 1st September, 2020. She also will take the fourth year zoledronic injection on 1st October, 2020 and the fifth and final one on 1st October, 2021.
Anhaga sumit30306
Edited
https://www.drugs.com/drug-interactions/denosumab-with-zoledronic-acid-3238-0-2331-0.html
Anhaga sumit30306
Posted
My reply which is waiting for moderation is an item which indicates that taking these two medications together increases the risk of jaw necrosis.
sumit30306
Posted
Should my mother go forward with two different injections i.e. Zoledronic acid and Denosumab in a month' gap? Or else, skip the two injections to be given in 1st Septembe 2020 (olimab)and 1st October 2020 (Stoplos One) in order to do lower jaw denture implantation by a maxillofacial surgeon.