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#201491 07-27-2022 12:07 PM
Joined: Jul 2009
Posts: 1,402
David2 Offline OP
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Patient Advocate (1000+ posts)

Joined: Jul 2009
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Hello friends - I used to be active here but after my prostate cancer diagnosis 4 years ago have been devoting myself extensively to that issue, so please forgive my absence.

It seems that I'm going to need a tooth extracted and an implant. I'm concerned because before my IMRT in 2009 an oral surgeon warned me about possible bleeding problems in such a case. My periodontist is aware of this and is very experienced. He hasn't yet outlined any specifics. I'm seeing him again next Monday, Aug. 1st.

Can anyone give me any advice and/or speak to their own experience?

Many thanks.
David


David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 13 years all clear in 6/19 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
Joined: Oct 2008
Posts: 238
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As you already know, dental extractions post-radiation therapy are a risk due to the possibility of developing ORN (osteoradionecrosis) resulting from compromised blood flow to the jaw. If you check my past posts on this topic, you will see that it is a complicated decision. My husband did not get good advice until he consulted a dental surgeon who was part of an oral cancer team. I would not proceed with extractions until seeing a dental surgeon with experience treating oral cancer patients. If at all possible, check with a large cancer center.

The OCF pages under dental issues are helpful and your radiation oncologist should be able to give you some guidance.
All the best,
travelottie


CG to husband, dx @ age 65, nonsmoker/social drinker. Dx 5/08 SCC Stage IV, BOT T1N2aM0. 33 IMRT - completed 9/12/08. Induction Chemo (Cisplatin, Taxotere & 5FU), plus concurrent Cisplatin.
1/09 PEG removed; 5/09 neg PET/CT; 5/10 PET/CT NED
Dental extraction & HBOT 2013; ORN 2014; Debridement/Tissue Transfer & HBOT 2016
Joined: Jul 2009
Posts: 1,402
David2 Offline OP
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Thanks a million, travelottie. My situation is complicated by the fact that my treatment was 13 years ago, so getting in touch with my RO from back then might not be possible. At present I am seeing no oncologists, only the periodontist and my regular dentist. I'll read and learn from your past posts, and really appreciate your wise words.

David


David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 13 years all clear in 6/19 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
Joined: Oct 2008
Posts: 238
Likes: 1
Gold Member (200+ posts)
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Joined: Oct 2008
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David,
Your treatment summary from the original radiation oncology department should still be available. Oral surgeon should want to check radiation mapping, which indicates the high dose radiation areas.

Best regards,
Lottie


CG to husband, dx @ age 65, nonsmoker/social drinker. Dx 5/08 SCC Stage IV, BOT T1N2aM0. 33 IMRT - completed 9/12/08. Induction Chemo (Cisplatin, Taxotere & 5FU), plus concurrent Cisplatin.
1/09 PEG removed; 5/09 neg PET/CT; 5/10 PET/CT NED
Dental extraction & HBOT 2013; ORN 2014; Debridement/Tissue Transfer & HBOT 2016
Joined: Jul 2009
Posts: 1,402
David2 Offline OP
Patient Advocate (1000+ posts)
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Patient Advocate (1000+ posts)

Joined: Jul 2009
Posts: 1,402
Thanks again, Lottie. I was indeed able to get in touch with my RO, who thought that based on my treatment I might not be a candidate for an implant. She recommended a dentist for a consultation. I'll be seeing him in August.

David


David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 13 years all clear in 6/19 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18

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