Although I didn't have Medicare when I first had radiation, and had two teeth extracted, it is to my understanding that Medicare covers extractions if it is needed to have done in order to have cancer treatment, and is not usually covered after treatment, when it is then considered cosmetic.

The 20% sounds like what Medicare A, B, doesn't cover, unless you have secondary insurance or a Medicare supplemental plan. Medicaid, if one can qualify, apparently covers dental, and some are able to get dual coverage with Medicare and Medicaid.

Also, the usual wait time for a tooth extraction is usually 21 days, depending on healing, before starting radiation treatment, although some doctors believe two weeks is enough, and in event of anything sooner, prophylactic antibiotics, as a precaution, may be needed in thinking that effects of radiation don't start until 10-14 days after starting, and healing should be complete, but chemo effects start a few days after infusion. One may need dental clearance, I did, before starting radiation treatment after extractions.

Good luck with everything.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs