Problems involving your jaw after a dental extraction are very rare especially if there is no history of head and neck cancer, radiation treatment, and you have good dental health. If a problem arises the drug can be held after a period of time dental work can proceed. Many individuals have successfully undergone dental procedure while taking drugs for osteoporosis without adverse consequence. Osteoporosis increases your risk of what we call "fragility fractures" that is fracture due to osteoporosis. This happens because the disease causes your bone to become weak and more prone to breaking with a low energy fall from a level surface.
"Atypical" or femoral shaft fractures have been rarely observed in some individuals. Some feel these fractures occur because of the long term affects of osteoporosis drugs on bone. The risk of a hip fracture arising from osteoporosis is much more likely than any atypical fracture occurring due to theoretical effects on bone from long term use of osteoporosis drugs. The goal of treatment is to prevent fractures not cause fracture. Regular follow up with your Physician will help ensure you are taking the drug correctly and doing everything else you need to do to help reduce your risk of fracture. Your doctor will reassess your fracture risk periodically and determine if your treatment is working or need modification.