I would like to respond to an additional concern regarding serious long-term dental side effects. My husband required a post-treatment extraction. I was appalled at the inaccurate information & recommendations that we received from several local oral surgeons, seemingly unaware of ORN risk. We traveled to a major NYC hospital for consultation with an oral surgeon on their oral cancer team. Finally after extraction, a debridement and tissue transfer was performed. His jaw has been stable since that surgery.

One local oral surgeon even recommended extracting adjacent teeth at the same time "so you won't have to worry about those getting infected in the future"
The concern that needs to be emphasized to the dental community--
It's understood that you can't be experts in all aspects of oral cancer but Do Not work on post-radiated jaws without further consultation. Don't they teach about ORN in dental school and continuing education?

Thank you Marley,
Lottie


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