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With having a tooth crowned, are there any special issues for post radiation patients?

Last edited by Andrew111; 06-15-2017 12:06 PM.

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.
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Nope! smile

Only problems when having extractions or deep gum work done.


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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Thanks, Christine, for this and all the other times you helped me.


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.
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You're welcome, Andrew! Thats what Im here for. smile




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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Hi Andrew,
I've had a couple of crowns and even had a root canal 2 months ago.

No problems or special concerns.

While its not fun, after what you've probably been through with cancer, its no biggie.

As a general precaution I always like to let any new medical team know my oral cancer and radiation history and that I've been cautioned to never have teeth extracted!


History of leukoplakia <2001-2004. SCC lateral tongue 9/03; left radical neck dissection & hemiglosectomy 10/03, T2-3,N0M0; 28 IMRT radiation completed 12/03. 30 HBO dives Oct-Nov 04 for infections and bone necrosis -mandible.
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I have seven remaining teeth. All bottom front. All of them have had a root canal and all of them have been crowned. My dentist openly worries about his ability to maintain even one of them for another day, but so far, so good and I will take it. There is nothing like 62 radiation treatments to knock the stuffing out of your teeth! Hang in there.


Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
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I'm beginning to wonder about my dentist. I don't expect him to be an oral cancer expert, but I do wish he would take what I tell him more seriously. Or at least be able to have a conversation with me. I tried refresh his memory on why my jaw is at risk, and explained that the blood supply is reduced in the jaw bone, which means the body can't mount a normal immune response there. His replay was "No, I saw blood come out of your gum when I was working. Well, I never said there was no blood in the gum. I also told him that my followups with doctors are primarily to check for delayed problems caused by radiation. He said "No, I'm sure they are checking for other things."

And it's not just cancer-related. He told me that if the floss gets stuck to just pull it out the side. I started to explain that the floss I use won't allow that, and he jumped in and started explaining to me that there is only one kind of floss. Except this time I was not speechless, and I told him I use Glide floss which is attached to a wishbone holder. At which point he offered me a sample of regular floss, which is where I was going in the first place.

I don't know what his deal is, but conversation with him seems to be him wanting to find a reason to disagree with me, for reasons I don't understand. He didn't use to be like this, or maybe there was just nothing that came up to disagree on.





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.
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Sounds to me like its time for a new dentist, someone who is more knowledgeable and less argumentative. Its scary thinking how some dentists are so uninformed!!! That kind of dentist could do serious harm to their patients (like OC survivors) who require extra care. Its a darn shame your dentist isnt more open to hearing about new products. Dental floss has had other options for years. Nobody knows everything but as a professional they need be more proactive with their continuing education. Your dentist might want to also be more open minded, that is if they plan on keeping their patients for long term.


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
Joined: Apr 2008
Posts: 117
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[quote=ChristineB] Dental floss has had other options for years.[/quote]
I forgot to mention that he's the one who first told me about Glide, years before this. He even gave me a sample. So he knows this exists, but he launched into argumentation mode anyway.



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.
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Is there a dental oncology department at your original treatment facility? If so, can you make an appointment there to have your teeth checked by one of the dentists there? They are likely seeing cancer patients every day.


Gloria
She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards

Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015. Phase 2 trial of Selinexor April to July 2015. At peace Jan 15, 2016.
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