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terrib Offline OP
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My husband is 3 1/2 months out of treatment now. How many times per week are recommended for doing the trays?


Husband diagnosed Oct '11 Cancer of the vocal cord Nov '11 removed right vocal cord. Neck Dissection, cancer in one node, .2, very small & contained) Jan '12 Radiation and Cisplatin, 6 doses. June '12 & Dec '12 clear Pet scan. April '13 Celebrating 1 year cancer free since treatment ended.
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From what others have discussed on here, flouride trays should be continued to be used daily.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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My prosthodontist told me early on that after radiation, I should use my fluoride trays DAILY for the rest of my life, if I want to keep my teeth. If that was not the advice your husband received from his dental professional, my recommendation would be that he ask his medical team for a referral to a dentist who has experience in dealing with the specialized problems that occur after radiation for a consultation. Just like you would not expect your family's general practitioner doctor to be a specialist in oncology or cancer treatment, it could not hurt to have one visit with a dental specialist.
I've been using my fluoride trays daily now for 5 years.
Dental health is a serious concern after radiation TX due to decreased saliva, dry mouth, and radiation damage to the teeth roots and jaw tissues. For example, Extractions are a big No No without Hyperbaric Oxygen treatment.


65 yr Old Frack
Stage IV BOT T3N2M0 HPV 16+
2007:72GY IMRT(40) 8 ERBITUX No PEG
2008:CANCER BACK Salvage Surgery
25GY-CyberKnife(5) 3 Carboplatin
Apaghia /G button
2012: CANCER BACK -left tonsilar fossa
40GY-CyberKnife(5) 3 Carboplatin

Passed away 4-29-13
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Daily and make it the last thing he does before he goes to sleep.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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terrib Offline OP
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His dentist and radiation oncologist both seem to think 3 times a week is ok.


Husband diagnosed Oct '11 Cancer of the vocal cord Nov '11 removed right vocal cord. Neck Dissection, cancer in one node, .2, very small & contained) Jan '12 Radiation and Cisplatin, 6 doses. June '12 & Dec '12 clear Pet scan. April '13 Celebrating 1 year cancer free since treatment ended.
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Both my dentist and RO told me to use the flouride everyday. I started using it before I even started radiation. My dentist said I will probably be using the trays for the rest of my life. My RO even told me I could use them twice a day, but most people do not.


Female, nonsmoker, 70, diag. 5/09 after tongue biopsy: stage IV. Left hemi-gloss. and left selec. neck disec. 30 lymph nodes removed May 20. Over 7 weeks daily rads. with three chemo. PEG removed 12/4/09 Am eating mostly soft foods. Back to work 11/09 Retired 4/1/11. 7 clear scans! Port out 9/11. 2/13. It's back: base of tongue, very invasive
surgery involving lifestyle changes. 2/14: Now speaking w/Passey-Muir valve. Considering a swallow study. Grateful to be alive.
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Every day is best, but effectiveness is also time-dependent, so if you miss a day do it longer for the next day.


CG to husband - SCC Tonsil T1N2M0 HPV+ Never Smoker
First symptoms 7/2010, DX 12/2010
TX 40 IRMT (1.8 gy) + 10 Cetuximab
PET Scans 6/2011 + 3/2012 clear, 5 year physical exam clear; chest CT's clear of cancer. On thyroid pills. Life is good.
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I started using my trays 1 month pre rad and I used them throughout my Tx (well almost every night) and I used them for 5 years post Tx, again almost every night. I was told after 5 years that I didn't need to use them anymore. My rountine... I would floss, brush and then I wore them for 30 mins, took them out and went to bed without drinking anything.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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Terrib

I think it's more of risk reduction vs inconvenience issue. IMO, it's not worth the risk of losing my teeth over using a flouride tray since I've seen zero studies suggesting it would be safe to quit using them..
A quick search turned up that the National Cancer Institute at NIH recommends daily use of fluoride trays until such time as full saliva returns. There were some studies on oral cancer patients purporting to show that patients who skipped fluoride trays got cavities and some lost their teeth. But they were not clinical trials, double blind or anything so not proof positive (or else I'd have linked to one of them). If a dental college web site or dental hygienist web site mentioned it,they advocated daily use for life for head and neck cancer patients who had received radiation.
But who knows, maybe three times a week is plenty, it's just that your post is the very first one I've seen since joining OCF that does not say their dentist or RO told them daily use.
Hey, you can let us know in a few years how 3x worked out for your husband
Charm

Last edited by Charm2017; 07-23-2012 02:57 PM. Reason: typos

65 yr Old Frack
Stage IV BOT T3N2M0 HPV 16+
2007:72GY IMRT(40) 8 ERBITUX No PEG
2008:CANCER BACK Salvage Surgery
25GY-CyberKnife(5) 3 Carboplatin
Apaghia /G button
2012: CANCER BACK -left tonsilar fossa
40GY-CyberKnife(5) 3 Carboplatin

Passed away 4-29-13
Joined: Apr 2012
Posts: 32
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Terrib, I think you have gotten a comprehensive response. My oral surgeon / dental team who removed my molars prior to rad/chemo advised to fluoride every day...for the rest of my life to keep the remaining teeth. Rather stark advise, but since my saliva is mostly gone, and it is what in the past kept the teeth clean or washed, I get it. Sometimes if I feel ill I skip. The fluoride paste seems to upset my tummy some.

Good Luck and my prayers will be with your hubby and your family.

Ken


48YO M, hlthy, xsmkr(quit 14yrs ago), mod drinkr
1 mo sore throat w/neck lump 3/12
SCC tonsil, lym nodes
4/12/12 rad tonslctmy, mets in lymph nodes
5/8 PEG, 5/10 PORT 7/3/12 Last Chemo (Cisplatin)| 7/10/12 Last RAD | 9/6/12 MRI=No New Cancer
BSA Scout Ldr w/strng desire to live & beat cancer
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