Joanna's, absolutely right. For me, it was of the most difficult decisions in the whole process. I got second and third opinions, a report from UCLA School of Dentistry about management of radiated teeth/mouth, full mouth x-rays, custom dental trays, professional flouride, a WaterPik, a battery operated WaterPik (Panasonic), Biotene, a baby's toothbrush, and, like Brian, have become fanatical about dental care (not that Joanna wasn't - I know she was). And her story was very similar to mine - lots of money spent on preservation over the years i.e., many crowns, regular cleaning and x-rays). The point I am trying to make is that we are all different. There are many variables, for instance, I just found out that not all dental hygienists clean below the gum. That can make all the difference. After Joanna's plight, I made an appointment immediately with my dentist and had x-rays taken and a thorough dental exam to be sure that my teeth are holding up. God knows I have enough fear about all this stuff and my teeth are doing great. I had no evidence of below the gum decay. I am writing this with a flouride tray in my mouth.

I want to caution you also that the risk of ORN is a lifetime one.

Like Brian said, I urge you to get a second opinion. I would start by having a frank discussion with your regular dentist about the actual condition of your teeth and gums.

Many have stated that losing their teeth was the most traumatic part of this experience.