MyMyelomaTeam

Getting dental clearance before starting Zometa (zoledronic acid) was absolutely the right move — great job staying on top of that! Your oncologist is right that it helps prevent fractures by slowing bone breakdown and controlling calcium levels in the blood.

Here's what's helpful to know going forward:

- Routine dental Show Full Answer

Getting dental clearance before starting Zometa (zoledronic acid) was absolutely the right move — great job staying on top of that! Your oncologist is right that it helps prevent fractures by slowing bone breakdown and controlling calcium levels in the blood.

Here's what's helpful to know going forward:

- Routine dental work like cleanings, fillings, and crowns is generally safe while on Zometa
- Invasive procedures like extractions or implants should be avoided if possible
- If invasive dental work becomes necessary, Zometa may need to be paused for 90 days before and after the procedure
- The longer you're on bisphosphonates like Zometa, the slightly higher the risk of a rare jaw condition called osteonecrosis of the jaw (ONJ) ONJ affects an estimated 3–11% of people taking these medications. Watch for warning signs like:

- Loose teeth
- Exposed jawbone
- Pus or discharge in the mouth
- Unusual swelling or tenderness

A MyMyelomaTeam member shared that their ONJ was actually caught during a routine dental exam, which highlights how important regular checkups are.

Make sure your dentist and oncologist stay in close communication — most dentists don't regularly treat people with myeloma, so keeping both informed is key to protecting your oral and overall health.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

Medications for Multiple Myeloma: Your Guide

5 Dental Issues Linked to Multiple Myeloma: Risk Factors and Treatment