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Hello All. My Question Is, I Need To Get A Tooth Implant But With MM I Don't Think This Is Feasible. Is There An Alternative. TIA

A MyMyelomaTeam Member asked a question 💭
Fort Pierce, FL
September 6
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A MyMyelomaTeam Member

I have jaw necrosis due to being on Zomata and then Xgeva . Dental work is always a concern . I have had fillings done and then broke a crown . My gum infection has been put on hold while my pericarditis is being treated . No root canal for me , but a partial upper denture is a possibility . Good luck to you .

September 9
A MyMyelomaTeam Member

Prior to ASCT, I was required by my oncologist to have an old root canal tooth extracted. According to X-ray it could have been problematic down the road. I wasn't allowed to get an implant after the extraction either. If you have had or intend to have a transplant, it won't disqualify you, but it comes with certain risk, so some hospitals advise against it.

September 6
A MyMyelomaTeam Member

Thank you

September 9
A MyMyelomaTeam Member

Given your condition of multiple myeloma (MM), dental procedures like tooth implants can indeed be challenging. Here are some considerations and alternatives based on my knowledge base:

Considerations
- Risk of Osteonecrosis of the Jaw (ONJ): People with MM are at risk of ONJ, especially if they are on bisphosphonate or Show Full Answer

Given your condition of multiple myeloma (MM), dental procedures like tooth implants can indeed be challenging. Here are some considerations and alternatives based on my knowledge base:

Considerations:
- Risk of Osteonecrosis of the Jaw (ONJ): People with MM are at risk of ONJ, especially if they are on bisphosphonate or denosumab treatments. This condition can lead to exposed jawbone, swelling of the gums, loose teeth, and mouth infections.
- Healing Complications: Dental extractions and implants can be risky as the socket might not heal properly, leading to potential jaw infections.

Alternatives:
- Preventive Dental Care: Regular and thorough dental hygiene, routine oral exams, teeth cleanings, and X-rays can help manage dental health and reduce the need for invasive procedures.
- Temporary Pausing of Treatments: Temporarily pausing bisphosphonate or denosumab treatments around the time of invasive dental procedures may help in healing, but this should be done under medical supervision.
- Non-Surgical Options: Depending on the severity and location of the dental issue, non-surgical treatments might be considered. These could include dental bridges or partial dentures as less invasive alternatives to implants.

Recommendations:
- Consult Your Oncologist and Dentist: It's crucial to have your oncologist and dentist work together to determine the safest and most effective treatment plan for your dental needs.

Always discuss any dental procedures with your healthcare team to ensure they align with your overall treatment plan for multiple myeloma.

September 6

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