I am back to how I felt after Bob completed tx - more angry at the tx than the cancer. I know it saved his life but it is barbaric.

Oral surgery evaluation today was very frightening. High risk of ending up with ORN, but it looks like wisdom tooth and possibly another will have to be extracted. The surgeon himself said, "this can turn into a nightmare". He wants us to get another opinion, which is scheduled for tomorrow.

He is contacting our RO re:HBO, but said that some institutions (ex. Sloan Kettering) do not believe that it helps enough cases. On the other hand, if you end up with ORN and didn't have HBO, you'll wonder if it could have prevented it.

There is also concern about the tooth "blowing up" while waiting to complete HBO and then it's an emergency. He said we might want to consider a root canal prior to HBO (this would remove the time pressure risk) and still extract the tooth in the end.

It is getting so complicated that I feel sick. Why didn't they advise removal of wisdom tooth/all molars prior to tx? We were told to have his teeth checked out before rad. His teeth were healthy at the time. No one said we still might want to consider removal of molars to avoid this possibility. I'm very disturbed by this!


CG to husband, dx @ age 65, nonsmoker/social drinker. Dx 5/08 SCC Stage IV, BOT T1N2aM0. 33 IMRT - completed 9/12/08. Induction Chemo (Cisplatin, Taxotere & 5FU), plus concurrent Cisplatin.
1/09 PEG removed; 5/09 neg PET/CT; 5/10 PET/CT NED
Dental extraction & HBOT 2013; ORN 2014; Debridement/Tissue Transfer & HBOT 2016