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#56867 10-20-2005 12:50 PM
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Thanks Cathy-I found it with your help!
Tami


Tami
Mom has Bot scc stage T1/N1= stage 3 dx 6/27/05 treatment IMRT & chemo (docetaxel, cisplatin, 5FU) ended treatment 8/22/05 Cancer free as of Feb 2006
#56868 10-24-2005 10:03 AM
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Hi All, on the dental subject, has anyone had their front teeth replaced with crowns? I currently have veneers on front four teeth, (had them pre cancer), anyway, my teeth under them are decaying,veneers are very worn down, dentist said they have to go,he will either replace with more veneers or crowns. Thanks, Carol


Diagnosed May 2002 with Stage IV tongue cancer, two lymph nodes positive. Surgery to remove 1/2 tongue, neck dissection, 35 radiation treatments. 11/2007, diagnosed with cancer of soft palate, surgery 12/14/07, jaw split. 3/24/10, cancer on tongue behind flap, need petscan, surgery scheduled 4/16/10
---update passed away 8-27-11---
#56869 10-24-2005 02:55 PM
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I don't like to speek in absolutes, but if they are not going to go below the gums you should be OK. Additionally, uppers in the front are less likely to be an issue. I have had 2 upper wisdom teeth removed and some crowns on the bottom done with no problems. Just make sure your dentist knows what he is doing. I used the oral surgeon that did my jaw resection for the wisdom teeth and my regular dentist did a stint at MSKCC. My only concern would be a surprise if he has to grinds down the teeth for crowns.

#56870 10-25-2005 02:22 AM
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Hi, thanks for your post. The dentist that will be doing the work is my oral surgeon's dentist and I feel pretty confident in him. Have a great day....Carol


Diagnosed May 2002 with Stage IV tongue cancer, two lymph nodes positive. Surgery to remove 1/2 tongue, neck dissection, 35 radiation treatments. 11/2007, diagnosed with cancer of soft palate, surgery 12/14/07, jaw split. 3/24/10, cancer on tongue behind flap, need petscan, surgery scheduled 4/16/10
---update passed away 8-27-11---
#56871 10-25-2005 06:43 AM
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Hi Carol,
They pulled all my rear teeth in 1997 prior to radiatuion, leaving me only 6 uppers and 6 lowers. To make the partials, they had to crown the 4 end teeth. Despite careful dental care and flouride trays the remaining front teeth became very porous, so I had the other 4 uppers crowned last year. They look beautiful if that is your concern but it took the lab 5 tries to get them correct. My concern was the fact they have to grind them down to nothing to do this and what happens if there is decay. Thus far I have had no problems with any of them and will proabably have the bottom 4 capped sometime in the next few years as they are beginning to have problems. My partials and caps were done by a maxillifacial prosthodontist in Princeton who is MD Anderson trained. Be certain your dr is familiar with the special problems us cancer patients face.

Take care,
Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
#56872 11-06-2005 03:48 AM
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Hi
I had a question on how long should my Mom wait to have her partial evaluated from her dentist. She had completed her treatment at the end of August and the partial still does not fit. It seems to fit too small for her now. Will her mouth continue to change from the effects of the IMRT or should she assume it is time to go get another impression and refitted for a new partial? She feel that by not having the partial in it inhibits her ability to eat. She is currently able to open her mouth at about 60% of the range that it was originally. Is there any type of exercise that can be done to increase this?
Thanks
Tami


Tami
Mom has Bot scc stage T1/N1= stage 3 dx 6/27/05 treatment IMRT & chemo (docetaxel, cisplatin, 5FU) ended treatment 8/22/05 Cancer free as of Feb 2006
#56873 11-06-2005 01:37 PM
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Tami, John's surgeon told him not to even think about replacing the teeth that were extracted during surgery for at least a year. I wonder if replacing partials is the same.John is really frustrated because he wants to be able to chew again. I gues we'll just have to wait it out.


CGtoJohn:SCC Flr of Mouth.Dx 3\05. Surg.4\05.T3NOMO.IMRTx30. Recur Dx 1\06.Surg 2\06. Chemo: 4 Cycles of Carbo\Taxol:on Erbitux for 7 mo. Lost our battle 2-23-07- But not the will to fight this disease

:
#56874 11-07-2005 03:27 AM
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thanks!
Is that because the mouth is still changing from the healing?
Tami


Tami
Mom has Bot scc stage T1/N1= stage 3 dx 6/27/05 treatment IMRT & chemo (docetaxel, cisplatin, 5FU) ended treatment 8/22/05 Cancer free as of Feb 2006
#56875 11-07-2005 10:27 AM
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The mouth is still changing and healing. This is not just a function of the frailness of the tissues, but there are actual differences in dimensions as the swelling goes down, even though this may not be visible to the naked eye. If you built a bridge for instance that had great esthetics now, it might actually leave a space under the pontics (false teeth portion) after the total healing has taken place. Placement of implants in the bone would be a function of seeing that the blood supply in the bone was adequate to allow osteointegration of the implants, and as a matter of routine they like to wait about 18 months before jumping into something like that. But with a partial, which is going to be a tooth born (where the forces of mastication are going to be loaded) appliance, with little soft tissue contact, there are fewer issues. If large areas of it rest on the soft tissues, then it will not fit well in short order as the tissues change under it, and parts of it will have to be relined with new acrylics to fit properly again. Personally given as sore as my mouth was the first year after treatments, I don't think I would have been able to tolerate anything resting on the soft tissues of my mouth.


Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.
#56876 11-08-2005 06:10 AM
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Hello Guys
One question,
Did your health care insurers pay for the crowns etc? Our Dental ins only pays up to $1000.00 per yr.
We have Cap Blue Cross and even with letters from Radiation, Oncology and Dental docs explaining damage was caused by radiation they are refusing to pay.
Will we just have to bite the bullet?

Marica


Caregiver to husband Pete, Dx 4/03 SCC Base of Tongue Stage IV. Chemo /Rad no surgery. Treatment finished 8/03. Doing great!
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