Russ, I had the same radiation treatment they are planning on you, twice a day for 6 weeks, etc, to the left side of tongue as well as neck. My teeth themselves are in good shape, but do have a history of peridontal desease...Scaling and root planning are routine every 6 monts.

However, at the outset, there was never brought up a need to pull teeth for the treatment, I asked about it, but both the dentist and radiation oncologist said no, keep the teeth.

Guess every case is different, but I don't think having all your teeth pulled, especially with IMRT is a necessity these days. Depends on the condition of the teeth and jaw bone to start with.


SCC Tongue, stage IV diagnosed Sept, 2002, 1st radical neck dissection left side in Sept, followed by RAD/Chemo. Discovered spread to right side nodes March 2003, second radical neck dissection April, followed by more RAD/Chemo.