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Evista: A Contraindication for Dental Implants?

posted in Patient Questions on Dental Implants, advice

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Debby, a dental implant patient, asks:
Are certain drugs that a patient may be taking an absolute contraindication to placing dental implants? For instance, I take Evista (Raloxifene) and was told that may mean I cannot have dental implants. Evista is for osteoporosis. I have searched the internet and have not found any evidence that it produces jaw osteonecrosis like Fosamax or Boniva. I think my dentist is a little reluctant to place implants because I am on Evista. Can anyone provide any information on Evista and dental implants?

8 Responses to “ Evista: A Contraindication for Dental Implants? ”

• jose m. garcia July 22nd, 2008

  
  

  as a rule with biophosphonates if you been on them for 3 years not recommended….

• Dr. Carlo M. Bolognesi July 22nd, 2008

  
  

  Raloxifene is a selective estrogen-receptor modulator and it works on the same body tissues that estrogens affect with their activity. Only it has an estrogen-like activity on bone and an antiestrogen-like activity on breast and a minimal effect on the uterine tissues So in post-menopausal women, raloxifene should provide the beneficial sparing effect of estrogens on bone without stimulating breast and endometrial tissues.
  As far as l know this drug is not a contraindication to implant therapy.
  Maybe your dentist was concerned with other drugs you may be taking?
  Dr. Carlo M. Bolognesi Ravenna, Italy

• JawGuy July 22nd, 2008

  
  

  Evista is not a bisphosphonate ! It is one of the drugs I recommend as an alternative to bisphos…..

  You’re ok to proceed, provided this is the only issue or drug in quesion.

• Gary D Kitzis, DMD July 22nd, 2008

  
  

  QUOTE: jose m. garcia July 22nd, 2008

  “as a rule with biophosphonates if you been on them for 3 years not recommended….”

  ++++++++++++++++++

  Can you supply a reference stating why implants are not recommended if the patient has been on oral bisphosphonates for three years?

  I have placed implants on many patients who have been on oral bisphosphonates for over ten years and never had a problem.

• Tara Dunstable July 23rd, 2008

  
  

  I have been on bisphosphonates (Didronel) for 15 years and had 2 implants placed in 2006. I have stopped taking Didronel but the implants have settled and integrated extremely well and I have had no problems.

• R. Hughes July 24th, 2008

  
  

  I have treated people for years that have taken bisphosphonates (before we knew of any possable issues, which are really just a hand full of cases with complications)with no problems. I know one is out there that will make me rue the day. I use this rule of thumb - Go ahead if they have good OH and otherwise good health. Think about it the bhsphonates make the osteoclast stand still, so the osteoblast can do their thing and promote integration.

• Jack Nagrani June 9th, 2009

  
  

  “Raloxifene is a selective estrogen-receptor modulator and it works on the same body tissues that estrogens affect with their activity. Only it has an estrogen-like activity on bone and an antiestrogen-like activity on breast and a minimal effect on the uterine tissues So in post-menopausal women, raloxifene should provide the beneficial sparing effect of estrogens on bone without stimulating breast and endometrial tissues.
  As far as l know this drug is not a contraindication to implant therapy.
  Maybe your dentist was concerned with other drugs you may be taking?
  Dr. Carlo M. Bolognesi Ravenna, Italy ”

  Does the risk of Deep Venous Thromboembolism or death due to stroke effect your decision to place implants or proceed with Dental Surgery?
  Thanks in advance.

  Jack Nagrani DDS

• kathleen clifford September 14th, 2009

  
  

  I have \stopped taking fosamax 2 years ago. I have been
  on it on and off less \10 years. I am now taking evista
  for 2 years. I want to have dental implants,is there
  a \dentist somewhere between deer isle, maine and
  portland you could recommend?
  thank, kc

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