Are there dental impacts of hormone therapy ?

This sounds really concerning, and you’re definitely not alone in experiencing dental issues while on medications like Letrozole (Femara) and Prolia.

Hormone therapy can lower oestrogen levels, which may reduce saliva flow and weaken the supporting structures around teeth over time. This can make teeth more brittle and prone to chipping or splitting. Prolia (denosumab) works by slowing bone turnover, which is helpful for bone strength overall, but it can affect how the jaw heals after invasive dental procedures. That’s why dentists are usually cautious with extractions and may coordinate timing around your injections.

Taking a short break from Prolia before dental work is a common precaution, so it’s reassuring that this has already been planned. Fillings are generally low risk, but extractions or implants need careful assessment. In some cases, dentists may try to preserve the tooth with crowns or other treatments rather than remove it.

It’s important to share your full medication history with both your dentist and GP so they can plan safely. Clinics such as Indental Castle Hill often take a coordinated approach in these situations.

Hopefully your appointments tomorrow give you clear guidance and peace of mind.