Just giving a nod of agreement what was already said! I basically waited two years to have all my teeth extracted by an oral surgeon oncologist at a CCC, which was not by choice, but was due to destruction of the teeth from a number cancer treatments. After that, I did develop ORN, osteoradionecrosis of the jaw from the extraction, even though I did HBO treatments twice (60 dives), which then required debridement and a buccal flap, which didn’t work, and then a fibula jaw replacement and graft. It didn’t end there with the non healing fibula donor site, which required another graft five months later, and weekly doctor visits for wound debridement.

It may even be suggested doing hbo dives now, which may err on the side of caution, even after all this time, and I believe I read the risk increase for ORN the more distant from treatment.

To make it short, try to involve your treatment center, especially radiation oncologist, with the treatment plan (I forget name) detailing the radiation dosage, and areas radiated, which may not have the same radiation. I was cautioned by my ENT about implants, and was supposed to see a Protodontist, but developed several problems after that, and never occurred, so it’s been two years without teeth, but at least I didn’t develop any more problems, at least with the teeth. Btw, I’m writing from my hospital bed from other issues, which are somewhat related to cancer treatments.

Good luck


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