Hi. Thanks for jumping in. I am post-treatment, and the prosthodontist is not saying that scaling will interfere with cancer therapy. His concern is that because of the reduced blood supply to the jaw bone, scaling below 2mm creates a risk of infection that outweighs the benefits of scaling beyond 2mm.

[quote=Dr. Mike]There are no known contraindications to scaling and/or root planing in conjunction with chemo or radiation therapy. Mechanical removal of calcified deposits on teeth and tooth roots do not interfere with cancer therapy.
There is as well no indication that cleanings with sonic, ultrasonic, infrared or other types of cleaning are detrimental to patients who are undergoing chemo and/or radiation therapy. [/quote]


Squamous cell carcinoma base of tongue. Lymph involvement unclear; staging placed at "2 or 3." Biopsy 4/18/2008. Treatment: IMRT every day for 7 weeks. Cisplaten once a week to sensitize cancer to radiation. Treatment ended 7/16/08. PET/CT shows no more cancer.