Can I Extract Wisdom Teeth After Stopping Prolia for Six Months? - Dentistry

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When considering the extraction of wisdom teeth after stopping Prolia (denosumab), it is essential to understand how this medication affects bone health and healing. Prolia is a medication used primarily to treat osteoporosis and works by inhibiting bone resorption, which can lead to increased bone density. However, it can also affect the healing process after dental procedures, including tooth extractions.

In general, after discontinuing Prolia, it is recommended to wait for at least six months before undergoing any invasive dental procedures, such as wisdom tooth extraction. This waiting period allows the body to return to a more normal state of bone metabolism, which is crucial for proper healing. Since you have already stopped Prolia for six months, you are likely in a better position to proceed with the extraction, but it is always advisable to consult with your dentist or oral surgeon. They may recommend a blood test to check your calcium and other relevant levels to ensure that your body is ready for the procedure.

Regarding the healing time after tooth extraction, the initial healing of the soft tissue typically occurs within one to two weeks. However, the underlying bone may take longer to heal completely. Generally, the bone can take about six to eight weeks to heal adequately after a tooth extraction. During this time, it is crucial to follow post-operative care instructions provided by your dentist to minimize the risk of complications such as dry socket, which can occur if the blood clot at the extraction site dislodges.

After the extraction, maintaining good oral hygiene is vital, but care should be taken around the extraction site. Gentle cleaning is recommended, and it is advisable to avoid vigorous rinsing or using straws, as these actions can disrupt the healing process. If you experience any unusual pain, swelling, or bleeding, it is essential to contact your dentist promptly.

In summary, since you have been off Prolia for six months, you should be able to proceed with the wisdom tooth extraction, but ensure you have a thorough evaluation by your dental professional. The healing process for the extraction site will typically take a few weeks for soft tissue and several weeks for the bone to heal adequately. Always prioritize communication with your healthcare provider to ensure a safe and effective treatment plan.