I am on Fosamax and need to replace a front tooth. I was hoping to do a dental implant but my dentist said I am not a candidate for that because of the Fosamax. He suggested we do a removable partial denture. I want something a bit more permanent, like a bridge (though secretly, I still wish I could have an implant). He doesn’t want to do a bridge because it would mean filing down a front tooth. So, what if I got an encore or Maryland bridge?
Casey
Dear Casey,
I’m wondering if some of this is your dentist doesn’t have the skills necessary for these procedures. Taking Fosamax doesn’t automatically knock you out of contention for a dental implant. However, there are risks. There is a slightly increased risk of bone problems when having surgery involving the bone. The potential complications are serious, so don’t minimize them.
The safest way around the risk is to temporarily stop taking the Fosamax. Your oral surgeon and your physician can coordinate. Though, you will want an experienced implant dentist, especially because of your risks.
The next logical tooth replacement option would be a dental bridge. However, your dentist is steering you away from that as well. That puzzles me. Yes, a front tooth is a little trickier but it’s been done many times. Don’t push him on it. I’m beginning to doubt his abilities or maybe he’s beginning to doubt them.
If you decide not to do the dental implant, a bridge is the best next option. Don’t have your current dentist do it. I would go to a different dentist. As far as which bridge, let them choose. You want them doing the procedure they’re most comfortable with.
This blog is brought to you by Libertyville Dentist Dr. David Potts.