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#186911 11-28-2014 09:45 PM
Joined: Nov 2013
Posts: 29
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Joined: Nov 2013
Posts: 29
Hi there again OCF good people,

I'm so glad Thanksgiving is over. We have sugar overload!!!!

After my husband's neck dissection on October 13, the recommendation was radiation. The preparations included seeing a dentist and placing a peg tube.

On Monday December 1st, my husband will have all his teeth removed.
His gums are receding, and periodontitis was a concern.

Has anyone out there tried dentures or implants?
Is there an advantage of one over the other?

Monday is coming up pretty fast.

Blessings,


Patty / husband Dx with Stage 1 SCC
November '12, BOT ulcer
June '13, first biopsy-negative.
October '13, second biopsy-positive
November '13, second opinion at CCC, T1
December '13, partial glossectomy.
September '14, biopsy on lymph nodes, 1 tested positive.
October '14, right side neck dissection. 14 nods out, with only one affected.
November '14, T1N1M0 radiation in the recommended by oncologist
December '14, radiation treatment

Joined: Jun 2007
Posts: 10,507
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Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

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Not many have been successful with implants. Many have had issues after radiation making for it to be too risky. Be very cautious with implants! Ask the OS what the effects of radiation have on the jawbone and if it will interfere with getting implants.


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
Joined: Dec 2003
Posts: 2,606
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Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

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There are some specific predatory things they can do with tooth extraction, just in case your husband is a candidate for implants down the road. It will be many months, if not a year before teeth issues can be addressed.


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
Joined: Nov 2013
Posts: 29
Contributing Member (25+ posts)
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Joined: Nov 2013
Posts: 29
Thanks for your comments Christine and Uptown.
I will make sure to ask the OS and to factor in the time.
Patty


Patty / husband Dx with Stage 1 SCC
November '12, BOT ulcer
June '13, first biopsy-negative.
October '13, second biopsy-positive
November '13, second opinion at CCC, T1
December '13, partial glossectomy.
September '14, biopsy on lymph nodes, 1 tested positive.
October '14, right side neck dissection. 14 nods out, with only one affected.
November '14, T1N1M0 radiation in the recommended by oncologist
December '14, radiation treatment

Joined: Jul 2007
Posts: 211
Gold Member (200+ posts)
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Joined: Jul 2007
Posts: 211
My husband finished treatment in late 2007. He eventually lost almost all of his teeth due to ongoing radiation effects. He did get some special bone growth material that was injected via a surgical procedure about 3 years ago (to build up bone under his gums) and he had HBO treatments after that. He now has some implants that hold a permanent appliance/bridge. This just got completed after years of working on it at Hopkins. We're really not sure it was worth it or if bone necrosis will continue. But so far its working so it that continues it will be wonderful as he can now eat most things. But it was costly and time consuming and frustrating with lots of setbacks. I agree with Christine and Uptown that you need to wait to see how things go.


Sophie T.

CG to husband: SCC Stage 4, T4, N1, M0; non-smoker and very light social drinker; HPV+
induction chemo begun 7/07; chemo/radiation ended 10/10, first cat scan clear; scan on 5/9/08 clear, scan on 10/08 clear; scan 1/09 clear; scan 1/10 clear; passed away July 2, 2016
Joined: Nov 2013
Posts: 29
Contributing Member (25+ posts)
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Contributing Member (25+ posts)

Joined: Nov 2013
Posts: 29
Thanks Sophie.
Time will tell.


Patty / husband Dx with Stage 1 SCC
November '12, BOT ulcer
June '13, first biopsy-negative.
October '13, second biopsy-positive
November '13, second opinion at CCC, T1
December '13, partial glossectomy.
September '14, biopsy on lymph nodes, 1 tested positive.
October '14, right side neck dissection. 14 nods out, with only one affected.
November '14, T1N1M0 radiation in the recommended by oncologist
December '14, radiation treatment


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