It's now 2 weeks since my husband's extraction.

Over the last few months, I've posted about the frustration and worry related to Bob's teeth. He is 5 years post chemo/rad.

The good news: biopsy was negative for cancer (inflammatory process reported) and healing is also good, so far. I mention "so far" because oral surgeon stressed that's too soon to fully know bone reaction. Return in 2 months for exam & x-rays.

Here are some of the issues discussed through this process, aside from the usual trays, flossing, cleaning, etc. I'm hoping to get feedback on what others have been advised.
Use of Peridex (chlohexidrine) oral rinse
More frequent panorex x-rays
Close monitoring of crown margins. X-rays will not find infections under crowns. At any suspicion of infection, removing and replacing crowns, after removing decay (expensive proposition).
Of course, immediate repair of any small cavity

What have I forgotten that others are doing?

Interestingly, our oral surgeon recently attended a conference in New York City. One of the presenters was Brian Schmidt, DDS, MD, PhD at NYU (you might want to google his name and check out his interesting research and background). He recommended, if at all possible, not to extract teeth - cutting them back and leaving them to fall out, which others on the board have mentioned. Even going as far as performing a root canal, I assume to control pain, until the tooth falls out. I will write more about this once I have time to research it.







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