Hi Di! It is very fortunate that your surgeon was able to run interference with that extraction! As you may remember, my dh is an oral surgeon and we have been dealing with bisphosphonate related jaw necrosis for several years now. The risk applies to dental surgery that involves bone: extractions, implants, periodontal (gum) surgery or root canal surgery (not just a regular root canal). If you have been on any of the bisphosphonate meds, then you need to talk to the oral surgeon or dentist to discuss treatment options. The risk of jaw necrosis increases with the time and dose you have been taking the drug. There is a blood test call a CTX (C-telopeptide assay) that can determine your level of risk for jaw necrosis which will help determine how safe it is for oral surgery. If the risk is too high, a patient may need to take a drug holiday for several months and retake the test to see if there is less risk. This is something that must be discussed with the dentist/oral surgeon and your physician!
I hope your tooth is comfortable now!