Can I get dental implants if I’m on Actonel for osteoporosis? My upper left front tooth and incisor behind have been missing for 14 years. I had my first consultation with a dentist last week. She is not pressuring me to get dental implants but presented them as an option. I haven’t disclosed my medical history to the dentist yet. However, she said implants need healthy bone, which made me think of the medication. Would Actonel prevent me from getting dental implants? Thanks. Craig from NH
Craig,
Each patient’s case is unique, so you must find an experienced implant dentist or oral surgeon to determine whether you are a candidate for dental implants. However, we will provide general information on whether a person taking Actonel® or other bisphosphonates can get dental implants.
Can You Get Dental Implants While Taking Actonel or Other Bisphosphonates?
If you take Actonel or other bisphosphonates, you may still be a candidate for dental implants. Actonel is a bisphosphonate that treats osteoporosis by slowing down the cells that break down bone tissue. However, an implant dentist, oral surgeon, or periodontist (gum and bone specialist) will take a CT scan of your oral anatomy and review your medical and dental histories to determine if you are a candidate for dental implants.
How Do Bisphosphonates Affect Dental Implants?
Bisphosphonates increase the risk of developing jaw osteonecrosis, which can weaken bone tissue. However, if you are a candidate for dental implants, an implant dentist or specialist may recommend the following:
- Stop taking bisphosphonates four to six months before dental implant surgery.
- Avoid the medication while dental implants fuse with your jawbone.
- Resume the medication when the risk of compromising your dental implants is low.
What Does Research Show for Bisphosphonates and Dental Implants?
The October 2023 issue of Cureus published an article on bisphosphonate-treated patients and dental implants. Researchers recommend careful consideration, management, and bone monitoring for dental implant patients taking bisphosphonates.
A September 2023 Materials (Basel, Switzerland) article cautions that patients taking bisphosphonates have higher dental implant failure risks than patients not taking the medication.
Schedule Dental Implants Consultations
Schedule consultations with implant dentists, periodontists (implant specialists), or oral surgeons if you want dental implants. Tell the doctor that you take Actonel for osteoporosis. Take notes and compare your treatment options from the consultations. However, avoid insisting on dental implants if they are not recommended. If you are not a candidate for dental implants, a skilled cosmetic dentist can give you natural-looking results with alternatives.
Dr. Steven Brooksher, a Baton Rouge-accredited cosmetic dentist and a fellow of the International Congress of Oral Implantologists, sponsors this post.
