| | Joined: May 2016 Posts: 15 Member |  Member
Joined: May 2016 Posts: 15 | I have a question about dental work after radiation. The upper jaw was in the radiation field but the radiation also grazed my tongue, it was so close to the radiation field. I suspect that might be true for the lower jaw, especially back by the molars. Tonight I piece of the molar at the very back came out. I call my regular dentist tomorrow for him to check out. My question if he recommends a crown would anyone recommend HBO treatments or is that only for extractions?
DMB
SCC of right maxilla & nasal cavity, stage 4a, 3/10/2016
42 proton treatment completed 9/1/2016
Chemo - carbo, taxo, &Erbitux completed 09/27/17
| | | | | Joined: Jul 2012 Posts: 3,267 Likes: 1 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Jul 2012 Posts: 3,267 Likes: 1 | You usually don't need HBOT for root canals, and believe crowns also. It's when a tooth is extracted, gum work, surgery that can cause injury. The majority of ORN is caused after a tooth extraction, not just after radiation, but if its done too soon before radiation also.
It may be best to involve your ENT, Radiation Oncologist to see what their input is, radiation dosage to involved area, and type of dental work to be done.
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
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08/12 RND Pec Flap IORT 12 Gy
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11/14 All Teeth Extract 30 HBO
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| | | | | Joined: Oct 2012 Posts: 1,275 Likes: 7 Assistant Admin Patient Advocate (1000+ posts) | | Assistant Admin Patient Advocate (1000+ posts)
Joined: Oct 2012 Posts: 1,275 Likes: 7 | Is there a dental oncologist at your treatment center that you could ask (or get your general dentist to ask)? My husband had a root canal done by his dental and he did not have HBOT.
Gloria
She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards
Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015. Phase 2 trial of Selinexor April to July 2015. At peace Jan 15, 2016.
| | | | | Joined: Jun 2007 Posts: 10,507 Likes: 6 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 10,507 Likes: 6 | HBO is not needed for a minor dental procedures like a filling, crowns or root canal. HBO is for when a patient is not healing (many OC patients have problems with delayed healing in the area they had their rads), having a tooth extracted, ORN or a piece of their jaw removed.
ChristineSCC 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  | | | | | Joined: May 2016 Posts: 15 Member | | Member
Joined: May 2016 Posts: 15 | Thanks all, it turns out that it already has a crown on it. A piece of porcelain came off. Since I went to a stand alone proton center, there was only the radiology oncologist, no multi-discipline team. It turns out my general dentist here in Florida has had experience with patients that have had radiation treatments to the mouth, starting with his father.
DMB
SCC of right maxilla & nasal cavity, stage 4a, 3/10/2016
42 proton treatment completed 9/1/2016
Chemo - carbo, taxo, &Erbitux completed 09/27/17
| | | | | Joined: Oct 2012 Posts: 1,275 Likes: 7 Assistant Admin Patient Advocate (1000+ posts) | | Assistant Admin Patient Advocate (1000+ posts)
Joined: Oct 2012 Posts: 1,275 Likes: 7 | A broken crown, That's the best scenario, isn't it?
Gloria
She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards
Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015. Phase 2 trial of Selinexor April to July 2015. At peace Jan 15, 2016.
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