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#201005 10-18-2021 03:29 PM
Joined: Mar 2018
Posts: 76
Vicky1 Offline OP
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Mar 2018
Posts: 76
Hello everyone!

We've just had a virtual visit with a doctor from an Oral Surgery department and we're confused. We're 2 1/2 years since our last surgery, and three years post radiation.

Our otolaryngology cancer surgeon told us to get hyperbaric chamber treatments before having teeth pulled to lessen the odds of osteoradionecrosis. This oral surgeon told us that the benefits of HBO are sort of controversial. He said that if the tooth is loose it shouldn't damage the bone to remove it, and we might not need HBO treatments before hand. He also recommended that we have a general dentist look things over to see if any teeth can be saved before having teeth removed.

Do you all see a general dentist for your dental hygiene? I don't know why, but I was thinking we'd need a specialist after rads and two mandiblectomies. My dad's been quite resistant to having just anyone poking around in his mouth and he hasn't been to the dentist.

What questions did you ask to find a good dentist to work on you?

Does it matter where the tooth that's bothering you is located? My dad's had two mandiblectomies so he has 1 tooth left on the bottom, and just a few teeth on the top. The tooth that's bothering him is on the top, on the same side of his head as the area that was radiated.

Last edited by Vicky1; 10-18-2021 03:32 PM.

Dad was diagnosed 2/28/18 w Stage 4, N0 Verrucous carcinoma (VC) an uncommon variant of SSC
Mandibulectomy and free-flap reconstruction 5/30/18
Diagnosis changed to SSC.
Began treatment of 30 rads and 5 Cisplatin Cycles on 7/18/18
Decided not to do any more Cisplatin after the first one.
Finished treatment on 8/31/18.
3.19 Abscess & Recurrence wide mouth resection
4.16.19 Scapular Flap Reconstruction surgery
9.6.19 Clear CT!
8.6.20 Clear CT!
Vicky1 #201024 10-31-2021 02:20 PM
Joined: Dec 2018
Posts: 10

Joined: Dec 2018
Posts: 10
I did HBO for ORN and my issue resolved. I was also trying other therapies/meds etc so it was only a part of my treatment but it seemed to help me. It is controversial I guess, whatever that means- I'm curious about docs that refer to it this way. It's fine if they want you to have all the facts but it can sometimes come off like they're trying to talk you out of it. I had to fight for it. It's expensive.

Having a good dentist is essential post radiation. From what you're saying it sounds like your dad has about four teeth left? Is that correct? I'm no expert but I definitely agree with this:

"have a general dentist look things over to see if any teeth can be saved before having teeth removed."

Amen to that, especially if he's down to four.

THE KILLER INSIDE ME: Five years ago, I became one of the thousands of men diagnosed every year in the U.S. with HPV-related throat cancer:

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