Dr. C. asks:
I have a patient that requires 2 mandibular extractions and is interested in dental implant replacements. She has been taking Actonel for more than 3 years. I ordered serum CTX study which returned with a level of 137. According to Marx, this puts her in the moderate risk category.
I currently have started her on a 3 month drug holiday, and am planning to do the extractions soon after that. I am going to wait to place dental implants until I assess complete healing of the extraction sites in 4-6 months. Does anyone know of any value in retesting the CTX after a drug holiday period? Do you have any thoughts / recommendations regarding this treatment plan based on any experience with patients with CTX levels <150?