Anyone getting IV Pamidronate for osteoporosis or low bone density? If so, have you needed a tooth extraction or do you know how risky it is to have one? My son is having severe pain from a wisdom tooth and the new dental practice we are at do not want to touch it because of him being on the medication. I was never made aware of the possible ramifications if he needed an extraction. He is miserable and having a hard time. It hurts to open his mouth and when he swallows. He has some swelling starting at this point. He's getting Tylenol every 4 hours. He cannot have ibuprofen because of a bleeding disorder. I plan to call his PCP and ask him to call my sons old dentist(son got to old to continue seeing him), and see if he would be willing to see him or at least weigh in on the risks. But in the meantime I was seeing if anyone here has any experience with this that could share. Thank you.