Welcome to OCF, Brian!

You do NOT want to get ORN. Its death of yoru jawbone. They treat that with hyperbaric oxygen treatments (HBO) which is no big deal. But if that isnt effective then you would lose your jaw. Why treat this after the fact, you can do HBO before your dental work to prevent ORN. Ive gone thru losing my jaw and I am very very lucky to be alive! I was in the hospital for 2 months, 3 weeks of that in a medically induced coma. My originally 10 hour surgery failed and I became disfigured with the doctors fighting to save my life. There are members on this forum who live with ORN. They are in agony!!!! Pain meds only make it slightly tolerable, they live in constant pain every single hour of every day. Now do you still consider ORN a small risk?

You should be seeing a prosthodontist. That is a dentist who specializes in patients who have things like oral cancer, need implants, things like that. That kind of dentist would know you would need to go thru hyperbaric oxygen treatments (HBO) before they would attempt any dental work. This is called the Marx Protocol. You would do 20 before the dental work and 10 after. that will help to significantly lower your risk for ORN. Basically its a clear glass tube that you lay in for about 2 hours a day breathing pressurized pure oxygen. Its no big deal, doesnt hurt. But it is very time consuming. You may also need tubes in your ears prior to going thru the HBO.


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