Hi Folks! I am one and a half years post-treatment and, with the exception of dry/sore mouth and some difficulty swallowing food without liquids, I am doing well. I have been taking pretty good care of my teeth, but last week my dentist recommended that I have two wisdom teeth removed. I saw the oral surgeon today and we talked about the risk of osteonecrosis and the need for hyperbaric treatment and I almost started crying. It feels like it did when I was first diagnosed nearly two years ago: scared and helpless. I wanted to put this cancer stuff behind me, but now I am facing months of treatment, worry, and risk. In between my regular cleaning when I was told I'd need the wisdom teeth extracted and today's appointment with the oral surgeon, I saw my radiation oncologist, who said he would prefer that I didn't have the teeth extracted. They are not bothering me, but the oral surgeon said today that they will, he is 100% certain that they will get infected and potentially damage the nearby teeth, which are healthy now - teeth and gums. He says if we wait and I get an infection, we will be behind the 8-ball. He'd rather extract now before infection - well, not now but after 20 sessions of hyperbaric treatment. He says that in his 32 years, he has not had any patient who underwent hyperbaric treatment go on to develop osteonecrosis. Are the chances that good that I won't? My oncologist says the risk is always there. Is there anything I can do to improve my chances of not getting osteonecrosis once the teeth are extracted? Should I get a second opinion? I live two hours from Boston and though I went through surgery and treatment closer to home (Bay State Medical Cancer Program in Springfield) and was very satisfied with them, I did get a second opinion at Dana-Farber back then. I am tempted to seek a second opinion again. At the Head and Neck Cancer ward at Dana-Farber there are dentists. I assume that they deal with this all the time? I wonder if they would take a look and make their recommendations? Sorry for the rant and the questions. I'd love to hear from people, especially success stories, people in my situation who made it through dental extractions post treatment with no osteonecrosis. -Michelle