Xgeva and tooth extractions
Hi Ladies has anyone had to have a tooth re.moved while on xgeva ? I may need to have a wisdom tooth out and wondered about onj or any other problems fellow xgeva girls have had during dental procedures. thanks ladies
Forum Discussion
10 Replies
I’d definitely make sure both the oncologist and dentist know you’re receiving Xgeva before having the wisdom tooth removed. The concern around osteonecrosis of the jaw is worth discussing properly, and the dentist can assess the tooth, gums and overall situation before deciding on the safest approach. Good oral hygiene and following the aftercare instructions closely also seem important. If you’re in the Northern Beaches area, Park St Dental Practice in Mona Vale has dental surgeons with experience in wisdom tooth removal, so it could be worth discussing the medication history with a dental team before proceeding. Hopefully your appointment goes smoothly, Klea, and you get some clear answers.
- My oncologist wouldn't start the xgeva until I had all dental work done. It does have the risk of jaw necrosis. Let the oncologist know & the dentist. Be really particular with your dental hygiene.
- Thanks to all you lovely ladies for helping I am off to dentist Friday will let you all know how i go
Thanks again Klea - Thanks Ange I contacted my once and she said the same thing. She will put me in touch with a dentist who is experienced with xgeva side effects too . Thank you so much for your help Klea
- Hi @Klea. I saw my oncologist and dentist today. As I need the root cut out the oncologist said I must come off the Xgeva. So my oncologist & dentist are going to discuss how long before I have to wait to extract the root of the tooth. So if you want a tooth extraction you need to get your oncologist and dentist to talk but you need to stop the Xgeva. Good luck.. Ange
- I had a similar problem whilst on bisphosphonates getting a tooth extracted - ended up having blood test called cross laps
- Thanks for raising this issue. I am on Xgeva & was unaware that this might cause dental problems. Last Sunday my crown fell out & I have an appointment with the dentist tomorrow afternoon. I might need the root cut out. Luckily I also have an appointment with my oncologist tomorrow morning so I will ask. @Klea I'll let you know what the oncologist tells me ... Ange
- Hi Klea, I had a problem while I was on Xegva . One of my front crown tooth fell out so I had to have the root cut out and gum stitched. I had only just started on Xegva and when I told my oncologist she nearlly had a fit. She realized that I had to have the procedure but took me off Xegva for three months. That was 5 years ago and I haven't had any problems since.
- Jen is right, Klea. If the extraction is really necessary, you probably need to go off xgeva for a while - there is a small but real chance of it causing ONJ. Dentist and oncologist both need to be consulted.
Best wishes..... Pam - I had dental treatment whilst on xgeva but only fillings and a clean...was told not to have extractions because of possibility of onj. If need extraction have to stop injection but not sure for how long. Check with your dentist or oncologist...probably not much help, sorry.
