I completed radiation therapy in April 2006. The radiation field included my lower jaw (front teeth and right side). I had a lot of problems after treatment including a very slow healing process, and frequent mouth ulcers. Earlier this year I noticed my lower front teeth had shifted. I had x-rays taken and determined that I have osteoradionecrosis (ORN). Also found out this year that I have osteopenia and I'm taking calcium supplements daily.

My front teeth are a little loose (my dentist called them "mobile") and he said there is a good chance I would loose them at some point. My dentist and oral surgeon recommended I undergo HBO therapy and I recently completed 45 treatments. They also recommended I visit my dentist every 2-3 months for an exam and cleaning, take antibiotics before each dental cleaning, continue using the fluoride trays daily, and wear my lower tray nightly to help keep my teeth in position.

My teeth were in good shape before radiation, but they recommended I have my wisdom teeth removed before I start RT (which I did) to avoid potential problems with them in the future. I am now able to eat most foods, but avoid biting into anything with my front teeth.

I'm hoping to keep my front teeth, and was wondering if anyone has any other suggestions?

Thanks!


Susan

SCC R-Lateral tongue, T1N0M0
Age 47 at Dx, non-smoker, casual drinker, HPV-
Surgery: June 2005
RT: Feb-Apr 2006
HBOT: 45 in 2008; 30 in 2013; 30 in 2022 -> Total 105!
Recurrence/Surgeries: Jan & Apr 2010
Biopsy 2/2011: Moderate dysplasia
Surgery 4/2011: Mild dysplasia
Dental issues: 2013-2022 (ORN)