Actually Liz I think it's less of an issue today than it was say 5+ years ago or when IMRT became the standard radiation Tx over it's predecessor RT which produced far greater damage to the teeth and their blood supply. We still see it recommended, one because the teeth are so bad going into Tx and two because of continuing conservative Tx approaches especially beyond the CCC level.

This is just my take on this issue and by no means is backed by anything other than my experience on this site and my conversations with Moffitt and my dentist so that and $200 will get you a cup of java.

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.