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#100760 08-03-2009 07:46 PM
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hisnibs Offline OP
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Does this hurt others teeth. When I put on my trays with the Dry Mouth gel provided by my dentist my teeth explode in what seems like sugar and cold sensitivity. It just gets worse and worse the longer I keep them in and I am only lasting about 5 minutes.


Has anyone experienced this. My teeth got sensitive after surgery and while taking roxicet liquid pain killer.



Age 52, T2 N0 M0 SCC of left anterior floor of mouth. Esophagoscopy, Direct laryngoscopy, Resection of left anterior FOM lesion w/ lateral tongue. left selective neck dissection levels I-IV. 5x6cm skin graft coverng excision. Finished 33-35 rad Tx. False recurrence 12-22-10 last surgery 2-15-10
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Talk to your dentist. I have been using the Fluoride trays for 3 years now and never experienced anything like you describe and I keep my on for 30 mins every day.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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Oooh, glad David is a fluoride trays expert!

I stopped using them once my mucosa got too ravaged by radiation. It still stings a bit when I use them, so I try every so often, and if it hurts, I put it away and try again in a week or two. So far stil stings. Should I suck it up and do it, or should I wait until it don't hurt no mo'?


38 yo@dx, female, non-smoker, non-drinker, SCC right lateral tongue. T2N2aMx stage IVa; 1/20/09 bilateral neck dissection, hemiglossectomy, micromets in 2 right nodes, left all clear. 33xIMRT + 3 cisplatins. Tx completed 5/08/09. PET scan 7/29/09 clear, 5/26/10 clear, chest x-ray 5/23/11 clear
Jenka #100841 08-04-2009 08:56 PM
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hisnibs Offline OP
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Relief! Relief with a Capitol R!!!!

SF 1.1% Gel made by Cypress Pharmaceutical, Inc.


Described as a brush on and leave for up to thirty minutes. It has no sugar or sugar imitators and I can slather my teeth in full trays of this stuff and actually forget they are in my mouth. I almost want to do it again...... smile


Age 52, T2 N0 M0 SCC of left anterior floor of mouth. Esophagoscopy, Direct laryngoscopy, Resection of left anterior FOM lesion w/ lateral tongue. left selective neck dissection levels I-IV. 5x6cm skin graft coverng excision. Finished 33-35 rad Tx. False recurrence 12-22-10 last surgery 2-15-10
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Jenka,

Check with your Cancer Center's dental group, but during TX and Recovery I was told if my mouth got to sore to use the trays to just rub the fluoride on with my finger or a soft baby toothbrush.

I found I prefer the sodium fluoride to the stannous fluoride.


Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11

DonB #100869 08-05-2009 05:51 AM
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hiswhatever,

That's what I use now as it's much cheaper than what my dentist was "giving" me. I think I pay $12 a tube and the other was costing $23.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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David,

Could you tell me me what kind of flouride you use and how you use it? I've just been putting in general 1 size fits all trays for 2 min a day and then don't rinse mouth for 30 min. I've not gotten good advice on this so was just following instructions on bottle. Should I keep them in my mouth for 30min?

Thank you!
Kristen


26 yo Med student: 9/26/08- biopsy diagnose SCC on rt side of tongue
10/08/08- partial glossectomy and rt sided neck dissection removing 42 nodes, one of which positive for SCC
11/10/08- 7 wks of 33x IMRT, wkly cisplatin and wkly erbitux tx
12/26/08- last day of radiation.
8/5/09- uh oh...
kme05 #100903 08-05-2009 02:38 PM
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Kristen,

I use SF 1.1% Gel made by Cypress Pharmaceutical, Inc. Cost $12.00 a tube at Walgreens and I squeeze a thin ribbon of gel into the trays and put them on right after I floss and brush my teeth right before I retire. I was told by my dentist to wear them for 5 minutes and not drink anything for 30 but I decided just to keep them in the entire 30 and then I take them out and clean them and wrap them loosely in a tissue so the will dry and I also have to be sure to put them in a drawer so any one of my 7 cats don't steal them and run all over the house with them during the night. I should know because I left them alone one night and played hell the next day finding them and they were chewed and bent almost beyond recognition.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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hisnibs Offline OP
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Just an add, my CCC dentist said I should leave them in for 15 minutes.


Age 52, T2 N0 M0 SCC of left anterior floor of mouth. Esophagoscopy, Direct laryngoscopy, Resection of left anterior FOM lesion w/ lateral tongue. left selective neck dissection levels I-IV. 5x6cm skin graft coverng excision. Finished 33-35 rad Tx. False recurrence 12-22-10 last surgery 2-15-10
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Thank you David and Hisnibs. I'll look into this! Started last night for 10 min. Still painful to my sensitive tongue but worth it.


26 yo Med student: 9/26/08- biopsy diagnose SCC on rt side of tongue
10/08/08- partial glossectomy and rt sided neck dissection removing 42 nodes, one of which positive for SCC
11/10/08- 7 wks of 33x IMRT, wkly cisplatin and wkly erbitux tx
12/26/08- last day of radiation.
8/5/09- uh oh...
kme05 #100977 08-06-2009 08:46 AM
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kme,

You really need to talk to all your docs and get a consensus about whether or not you should continue to use the fluoride since it's irritating your tongue.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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kme,

David is right -- talk to your doctors and ask if it's okay to stop for a while. I, too, am in the middle of radiation treatment (16 done, 14 to go) and the fluoride trays sting horribly on my top teeth. My prosthodontist told me not to worry about stopping if it is so irritating, and to resume when it doesn't hurt so much (presumably after radiation is over). But ask your doctors first.

According to my prosthodontist, the weeks following radiation are the crucial ones to really start using the fluoride trays.


Chrissy

Stage 2 SCC upper right palate
Hemi-palatectomy and maxillectomy 5/28/09
Six teeth gone
IMRT x30 starts July 13. Completed 8/26/09
Carboplatin and Taxol x6 starting 7/14/09. Completed 8/25/09.
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I do have a dentist appointment today so I'll check on that. I didn't use flouride all through treatment because everything was SO sensitive...I have horrible confluent mucositis. My mouth has really taken a while to heal. So my doctors urged me to start using them again despite the burning. My RO scared me that my teeth would fall out. Things aren't looking so good here. Looks like i have some kind of recurrence on the opposite side, glands though, and dermal mets may be likely. This is horrible. I just had CT scan, PET scan, and MRI the past two days so looks like I'll be hearing soon what's next. Thank you for the advice on the flouride though...I'll definitely ask very directly to my dentist today. And then my doctors I'll be seeing this week as well.

Thank you!
Kristen


26 yo Med student: 9/26/08- biopsy diagnose SCC on rt side of tongue
10/08/08- partial glossectomy and rt sided neck dissection removing 42 nodes, one of which positive for SCC
11/10/08- 7 wks of 33x IMRT, wkly cisplatin and wkly erbitux tx
12/26/08- last day of radiation.
8/5/09- uh oh...
kme05 #101061 08-07-2009 08:47 AM
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Kristen,
Wanted to let you know, I'll be holding my breath with you. My prayers are with you.
Amy


40 yr old. Stage IV SCC found left tonsil. PET/CT shows cancer on base of tongue, floor of mouth, lymph nodes on both sides. HPV 16 pos. 6 weeks of cisplatin, 43 days of radiation. 73gy on each side.
ND March 2, 2009
reoccurance dx'd Aug 19, 2009
AmyK #101200 08-10-2009 11:15 AM
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Thank you Amy. Well, turns out I have a lot of cancer going on. All under left mandible, into mandible, floor of mouth, and some dermal stuff too. I have a bunch of oncology appointments at Mass General and Dana Farber on Tuesday and Wednesday of this week. Weird how this happened. I'd already had multiple CT scans that never picked this up! It was FNA biopsy that found it, and MRI and PET that confirmed it. I'm ready to fight the hell out of this cancer though!


26 yo Med student: 9/26/08- biopsy diagnose SCC on rt side of tongue
10/08/08- partial glossectomy and rt sided neck dissection removing 42 nodes, one of which positive for SCC
11/10/08- 7 wks of 33x IMRT, wkly cisplatin and wkly erbitux tx
12/26/08- last day of radiation.
8/5/09- uh oh...
kme05 #101201 08-10-2009 12:35 PM
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I'm so sorry you are faced with this again. My thoughts and prayers are with you.


Wanda (47) caregiver to husband John (56) age at diag.(2009)
1-13-09 diagnosed Stage IV BOT SCC (HPV+)
2-12-09 PEG placed, 7-6-09 removed
Cisplatin 7 weeks, 7 weeks (35) IMRT
4-15-09 - treatment completed
8-09,12-09-CT Scans clear, 4-10,6-11-PET Scans clear
4-2013 - HBO (30 dives) tooth extraction
10-2019 - tooth extraction, HBO (10 dives)
11-2019 - Left lateral tongue SCC - Stage 2
slim #101206 08-10-2009 03:07 PM
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I got brush on flouride! Brush it on let it sit for a min and spit it out! I find that it better coats my teeth as well! Might want to look into that as well. Those trays irritate me...waste of $180


30 yr old M non-smoker (stuborn ass italian)
SCC left side Tongue 2/17/09, Partial Gloss. 2/25/09
Left ND 5/20/09 10 nodes, 1 pos (1.7cm w/xtra cap spread)
Finished Rads IMRT X 33 8/18/09 (70gy)No PEG, No Chemo
"On the long road to recovery 1 step at a time"
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Kristin,

I'm so sorry you are faced with a recurrence. You are soooo young! I wish you well with your appointments this week. Please keep us posted on the results. Sending good thoughts your way.


Margaret
----------
C/G: Husband, 48 (at time of dx)
Dx 5/18/07 SCC, BOT, lymph node involvement. T1N2BM0. (Stage 4a, G2/3)
Tx 6/18 - 8/3/07, IMRT x 33 Cisplatin x3 (stopped after 1st dose due to hearing issues). Weekly Erbitux started 6/27/07 completed 8/6/07.
mhupe #101223 08-10-2009 05:47 PM
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Kristin, Im sorry you have to go thru this again. Please keep us posted with updates on what your docs say. wishing you the best of luck with everything.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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hisnibs,
I may have missed it in your posts but, what exactly is the product you are putting in the trays?
I may be able to offer some advice if you could be detailed in the product.
Cheers,
Mike


Dentist since 1995, 12 year Cancer Survivor, Father, Husband, Thankful to so many who supported me on my journey so far, and more than happy to comfort a friend.
Live, Laugh, Love & Learn.
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