If you are on EXGEVA as apart of your treatment, be careful and let your Dentist know. He may.want.to talk to.you about.Osteonecrosis.

I had to have a emergency extraction on two teeth, I didn't have the information about exgeva. Now I have early osteonecrosis. The dentist broke a piece of my jaw bone off and almost one year to the date of getting my tooth pulled, the bone came out of my gum and healed itself. The surgeon said now there is no need for surgery..

My Oncologist told me not too have a dental work done unless it’s by a dentist familiar with cancer patients for just that reason but if there’s no choice then the cancer dentist will know the proper treatment. I need top and bottom dentures but the regular dentist doesn’t want any part of taking a chance that I could get a jaw infection.

It is disturbing so many general dentists are totally unaware of dental implications when it comes to Myeloma, therapies, medications, treatments, precautions, interactions, etc etc etc.. They have no idea what is going on in the jaw. Panoramic x-rays, x-rays of back molars, do not reveal underlying changes .
The extensive paperwork and history you provide will be filed away after someone briefly looks over it. Be your own advocate. Go for a consult first. Maintain meticulous oral hygiene.

I am on Exgeva and my oncologist said it would have to be 6 weeks after my last injection before I could have any invasive dental work done.