For what its worth -- just to confirm that there is not always consistency in advice-- Barry and I were at Hopkins today meeting with dental oncologists and they use the trays and advise using the fluoride gel forever . They also advise using the trays during the radiation (without gel, I assume). This supposedly helps with scatter from fillings. Barry has a lot of crowns but they said his teeth were all sound and he didn't need any work. Thank goodness.

He will have a exam two weeks' after start of treatment to look at salivary function and any problems developing. They use a newish drug (Evoxac) to stimulate salivary function even during treatment if it appears it will help.

Tomorrow meeting with chemotherapy team and doctors again...

Gail


CG to husband Barry, dx. 7/21/05, age 66, SCC rgt. tonsil, BOT, 2 nodes (stg. IV), HPV+, tonsillectomy, 7x carboplatin, 35x tomoTherapy IMRT w/ Ethyol @ Johns Hopkins, thru treatment 9/28/05, HPV vaccine trial 12/06-present. Looking good!