What do the radiation oncologist, oral surgeon say? Is it erupted? Will it be in the radiation field? Radiation Dosage? Impacted?

They say if the 3rd molar is erupted, and in the radiation field, it should be extracted before radiation, as well as any other teeth that are in disrepair and unrestorable.

The below older study mentions preirridation extractions, and ORN.

Impacted 3rd molar teeth extracted have risk of ORN. I'm dealing with that now.

Less than 50Gy is less likely to have ORN, but with chemo it increases the risk.

Any extractions should be done 21 days, minimum 14 days before starting radiation to prevent ORN later on, even with chemo to prevent infections.

http://www.ncbi.nlm.nih.gov/pubmed/14762744

http://www.oralcancerfoundation.org/complications/osteoradionecrosis.php

I hope this helps, and good luck.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs