denosumab and broken tooth- what are the risks

I think they like you to have all dental work done prior to chemo because of the risk of infection. If you have a broken tooth and then your immune system is compromised with chemo, then you might get a severe infection that will leave you hospitalised. 

I was able to get dental appointments very quickly when they knew my situation and was always put to top of the queue. 

I realised just how much my immune system is still affected by chemo 7 months on recently when I got a tooth infection - I've never had one before. My dentist said it's because my immune system is still all over the place. It was pretty severe, I would not have liked to have had that during chemo.

Hi Eli

I just had a look on the NICE Guideline web site https://bnf.nice.org.uk/drug/denosumab.html  

It says

1. A dental examination and appropriate preventative dentistry before starting treatment are now recommended for all patients
2. Do not start denosumab in patients with a dental or jaw condition requiring surgery, or in patients who have unhealed lesions from dental or oral surgery

The medics will not likely go against this as NICE Guidelinea are considered to be best evidence-based practice.

I think you need to be trying to get the broken tooth attended to as soon as possible. Some cancer hospitals have links to either the Public Dental Service or Oral Surgery Departments who can sometimes help out if it is difficult to get care through the general dental services. First port of call would be your own dentist.

Good luck getting this treated.

WallyDug