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Real members of MyMyelomaTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Aredia

A MyMyelomaTeam Member asked a question 💭
Burlington, VT

I was on pamidronate for two years every three months for a total of 10 infusions. I'm heading to transplant and I need to have a tooth pulled prior. What is the risk of necrosis with the extraction? Is it the same as Zometa?

January 11, 2019
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A MyMyelomaTeam Member

After 3 doses your risk is a lot higher . I just went through this. It has been 2 weeks and all though i am healing slowly . everything looks good so far. Although i was told in the future they will not do an dental implant. Or a bridge i will have to get a 2 teeth denture

February 23, 2019 (edited)
A MyMyelomaTeam Member

My understanding is that Acyclovir is generally an anti-viral drug. In other words, it helps protect you from viral infections while your immune system is compromised, or semi- comprimised, while your blood counts are low, or while on steroids.

February 16, 2019
A MyMyelomaTeam Member

I had 1 tooth pulled before transplant . I never was told anything before giving zometa . I had to have a tooth pulled, because it had broke off a few months eariler . I had 3 Zometa treatments . They went ahead and pulled it.
Than after my transplant, I refused Zometa, because I had a few teeth that needed attention.
I told them I wanted All my teeth pulled . They said we can do a root canal . Nope ! I wasn't going to take a chance down the road and it goes bad and get a infection and lose my jaw .
Due to having 2 disc in my neck pressing against my spinal cord, they had to do it at Shands - $4062 without dentures . I finally got them pulled this pass July 2nd $2000 down and a year to pay the rest .
And I started my Zometa in Oct . .
Lol .. always a story with me .
I like to say a " testimony " .
Moral of my " story " make sure you get a clearance before doing Zometa.

Good night .

February 14, 2019
A MyMyelomaTeam Member

I have been on treatment for two years and I harvested stem cells after induction. I had a dental clearance for harvest but I don't for transplant because of that partial root canal. I'm going to stop the pamidronate and hope for the best. My Dana Farber doc said I can get the implant either before or after transplant but the bone has to be completely healed so if I get it before transplant it will delay transplant by six months.

January 22, 2019
A MyMyelomaTeam Member

Thank you. I will need an implant after the extraction.

January 17, 2019

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