Thanks again for all the input everyone! Much appreciated and definitely calming.

I have one more question about fluorides. I finally got my trays and fluoride gel and prescription tooth paste today. Both the gel and the toothpaste contain 5000 ppm (1.1%) fluoride (Prevident 5000 brand). My dentist said to use the trays once in the evening and the toothpaste every time I brush my teeth. However, all the inserts for the products specify to be used only once a day; and furthermore, I have read that too much fluoride can be toxic. Obviously, I will use the trays once in the evening, but what should I do about the tooth paste - should I just use a regular one? Was anyone else told to use both trays and prescription toothpaste?


36, female, left tonsil HPV+ SCC, T2N1
8/28/13 SCC in left tonsil
9/12/13 surgery:TORS and selective neck dissection (levels II-IV), 23 nodes removed
9/18/13 post surgery biopsy: 2mm clear margins, a 7mm lymph node positive in level IV, no ECL
10/28/13 rad begins, 30 treatments, tomotherapy
12/09/13 radiation ends!
2/10/14 papillary thyroid cancer
2/26/14 PET shows clear neck other than thyroid cancer, but with high uptake in an ovarian cyst
2/27/14 thyroidectomy
3/5/14 pelvic ultrasound