JC - All of my teeth were pulled prior to beginning treatment. My teeth were filled with fillings and generally in poor condition. The issue is that patients who receive radiation treatment for oral cancers become particularly vulnerable to a very dangerous condition.

Radiation causes the destruction of much, if not all, of the blood circulation in the jaw. Injuries or infections in the jaw become impossible to heal, or worse, develop into a very serious condition requiring bone transplant. Dental surgery performed anytime after the radiation runs real risk of injuring tissues in the jaw.

People with solid, healthy teeth usually keep them. But folks like me with poor teeth should get them out of the way so that no risk is run later. It is about safety and prevention - not a small matter at all. Hope this helps a bit. Best of luck. Be strong. Tom