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Joined: Nov 2021
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Thank you for the information Kevin. Hope your 3D plate works! Sounds better than a flap. It’s crazy how one tooth extraction can cause so many problems! It’s also hard to find a knowledgeable and experienced doctor!

1 member likes this: KevinBach
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I know this reply is a year or so after your post however I wanted to share my experiences. I had (as my radiation oncologist said) beautiful teeth, and the IMRT caused decay and ultimately the removal of all of my teeth. I ultimately decided to have them all removed at the same time since I had suffered through years of tooth breakage.

I did the HBO “dives” and underwent the surgery. Then more HBO “dives” afterwards. Fortunately I did not develop osteoradionecrosis. It truly sucks (pardon my language) but there really isn’t any other way to describe.


Age 58
DX SCC T3N1M0 R BOT 10/04 135lbs
TX Hemi-Gloss 11/04
MET Neck 12/04
TX 01/05 G-Tube,PortCath,6wks chem+6wks chem& IMRT,Max dose
06/05 RND,42 nodes 1 bad,All clear 120lbs
DX femoral hernia 09/09,repair 10/09 94lbs
HBO 11-12/10
11/10 All teeth out,05/11 dentures
DX hypothyroid,04/13
DX inguinal hernia,repair,04/15 127lbs
DX cachexia (CACS),03/16 98lbs
DX EPI, TX PERT,10/18 115lbs
DX RFS,11/18
DX iron deficiency anemia,02/19 118lbs
TX infusions,04-06/19 115lbs
DX calcified atheroma carotid
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Two years in and plate is holding solid and bone graft has integrated well.


Surgery 8/08
Rt tonsil and 1 lymph node
SCC, HPV+, Stage IV
Radical neck dissection
Radiation 35x
PEG installed
10/21 Two teeth extracted, Pento protocol
11/21 Jaw broke. Osteoradionecrosis
1/22: Jaw repair, 3d printed plate and bone graft (full flap recommended and rejected)
08/23: Ear canal erosion, bone exposed. Restarting Pento…
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That is good news I’m sure


Age 55 HPV 16+ SCC, BOT 050613 Stage IV
great team at OSU
Tx 6 weeks of rad started June 3
8 weeks of chemo started May 28
RTOG Phase III trial Cetuximab group.
Treatment completed 7/16/2013
PET Scan completed 10/08/13
Results discussed 10/11/13
NED - Free but am I
Next part of the journey?
1year PET 10/24/14 NED
Good reports now 10 years out.
1 member likes this: KevinBach
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Hi, I succcessfully completed HBO and had my extraction. Luckily all healed well. I am wondering if and when I need more extractions, will I need to repeat the process all over again and have HBO sessions prior to any more possible extractions? Thanks for any info!

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