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#160151 01-13-2013 01:49 PM
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Hi,
I've been noticing that my teeth seem to be moving and I'm wondering if it's because the way I choose my food has changed. With 50% of my tongue being gone, I'm obviously moving food around when I chew differently than before. Anyone else have orthodontic issues after partial glossectomy?


neg lesion biospy 1/2007; lesion found 3/2011; baby boy 5/3/2011; biopsy 10/2011; diag. 10/17/2011 T2,SCC tongue; 10/25/2011 part. glossectomy 50% tongue rmvd w/muscle; 11/29/2011 neck dis; HSP 12/3/2011 infection of incision; 12/5/2011 29 lymph nodes negative for cancer. No chemo/radiation.
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I'm not familiar with a glossectomy, but if any of your teeth were ever removed, fell out, your teeth can shift from the gap, and may even be periodontal (gum) disease, other type infection. Maybe someone here can better help, and see your doctor, which seems in line to do with any oral changes, and suspicions, especially after cancer. 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
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04/17 Regraft hypergranulation Donor Site
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02/19 Finally Cancer Free Took 10 yrs






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My teeth have also seemed to shift a bit. My gums are in good shape, but my dentist keeps patching the teeth themselves. So far, I haven't lost any, yet. I also had a partial glossectomy, but I'm sure that it is the radiation that has done the damage.


Female, nonsmoker, 70, diag. 5/09 after tongue biopsy: stage IV. Left hemi-gloss. and left selec. neck disec. 30 lymph nodes removed May 20. Over 7 weeks daily rads. with three chemo. PEG removed 12/4/09 Am eating mostly soft foods. Back to work 11/09 Retired 4/1/11. 7 clear scans! Port out 9/11. 2/13. It's back: base of tongue, very invasive
surgery involving lifestyle changes. 2/14: Now speaking w/Passey-Muir valve. Considering a swallow study. Grateful to be alive.
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"OCF Canuck"
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Yes, my teeth shifted. I had 2 lower molars pulled before radiation (one on either side). Then my dental fluoride trays were fitted, fitted, fitted and fitted. 3 times after the rads. (Long story) Whenever I wore them, my bite was uncomfortable after.
So I stopped wearing the trays and brushed with fluoride 2 times a day instead.

Then 2 of my front teeth moved - one back and one forward. The dental clinic told me that although brushing was fine, the trays act as a retainer, so I had to choose between my front teeth moving and being able to eat comfortably.

They said it was a result of the extractions combined with radiation.

It can all be fixed by a Prosthodontist, I just have to win the lottery first!


Pain late 2009. Dx as change in altitude. Sore spot on tongue late 2010. Dx as irritation.
Leukoplakia Bx Feb 2011 - Lichen Planus.
Bx May 2011 - Hyperplasia. Same sample retested as SCC.
June 2011 Rt Hemigloss,ND,rff,33 Rads. Hosp for 15 days w/bi-lateral pneumonia.
T3N1M0 Stage IV.
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Hmmmm. I didn't have radiation or have any teeth extracted. I've had xrays at my dentist appointment and nothing shows in my gums.


neg lesion biospy 1/2007; lesion found 3/2011; baby boy 5/3/2011; biopsy 10/2011; diag. 10/17/2011 T2,SCC tongue; 10/25/2011 part. glossectomy 50% tongue rmvd w/muscle; 11/29/2011 neck dis; HSP 12/3/2011 infection of incision; 12/5/2011 29 lymph nodes negative for cancer. No chemo/radiation.
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Posts: 67
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My bad - I was reading zengalib's post about the radiation.

If you did not have any teeth extracted or rads, then I don't know. Sorry about that - but let us know what if it was related to a partial glossectomy. I would sure like to know if anything shifts around because of that.


Pain late 2009. Dx as change in altitude. Sore spot on tongue late 2010. Dx as irritation.
Leukoplakia Bx Feb 2011 - Lichen Planus.
Bx May 2011 - Hyperplasia. Same sample retested as SCC.
June 2011 Rt Hemigloss,ND,rff,33 Rads. Hosp for 15 days w/bi-lateral pneumonia.
T3N1M0 Stage IV.
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I did not have radiation or any recent teeth extractions prior to my op, but also have a problem with moving teeth, plus my jaw is out of alignment. My operation was in May 2010 and I noticed that my teeth were moving in the November thereafter. They moved fast, my middle lower jaw teeth overlapped badly and an old extraction on the right handside closed. My op was done in the Uk and I returned to South Africa a month later. The ENT man was puzzled, I was sent to a Orthodontist who wired my front teeth to stop the shift. He said the moving teeth was caused because of the change in size of my tongue. I battle with my jaw being out of alignment as my upper and lower jaws don't rest together on my teeth. It's causing problems with sleeping, eating, digestion and is tiring. The ENT said that the reason for the jaw pulling out of alignment was because of tissue shrinkage. I am very hollowed out on the left where the lymph glands were removed.

I am sorry that I haven't more more of a solution for you but I will follow this thread and report back if I find anything helpful.


Female 62
Tongue cancer Stage 3 T2 N1 M0 SCC G2
Surgery Queen Victoria Hospital, East Grinstead, England: 24th May 2010
Left partial glossectomy,
left functional neck dissection, radial forearm free flap reconstruction,
skin grafting to flap donor site

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