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#202023 07-10-2024 09:04 PM
Joined: Jan 2013
Posts: 1,292
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donfoo Offline OP
Patient Advocate (1000+ posts)
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Patient Advocate (1000+ posts)

Joined: Jan 2013
Posts: 1,292
Likes: 1
I had radiation and chemo to treat my stage 4 SCC HPV treatment 10 years ago.

This year I made the unwise decision to have my teeth extracted and get full upper and lower all on 4 fixed dentures. It's been around four months and four of the eight implants failed and were removed. It seems likely the radiated field is where the implants failed. The dentist has added a couple new posts in the lower, so now an all on 5. A temporary load fix denture will go on next. Hopefully, the extra post will hold and the bone and tissue should provide adequate support.

The upper ride of the jaw likely got rads and that is why 3 failed all in the same area. They were removed and the area cleaned of tissue and bad bone. It does show quite a bit of bone degenerated in the area of the posts. The doctors want to do as little as possible so are having me wear a removable upper denture for a few months to see it heal up before making any decision on next steps.

Which specialists work with oral cancer patients that received radiation? I've seen reference to the RO, oral surgeon, and prosthodontist. Before doing any further damage I need to get the proper evaluation, recommendations, and options.


Don
Male, 57 - Great health except C
Dec '12
DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes
1 tooth out
Jan '13
2nd tooth out
Tumor Board -induction TPF (3 cycles), seq CRT
4-6/2013
CRT 70gr 2x35, weekly carbo150
ended 5/29,6/4
All the details, join at http://beatdown.cognacom.com
donfoo #202027 07-14-2024 03:39 AM
Joined: Oct 2008
Posts: 247
Likes: 1
Gold Member (200+ posts)
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Gold Member (200+ posts)

Joined: Oct 2008
Posts: 247
Likes: 1
donfoo,
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. My past posts on this topic, document the bad advice that was offered by various dental specialists in our local area. My husband did not get good advice until he consulted a dental surgeon who was part of an oral cancer team at a large NYC hospital.

The OCF pages under dental issues are helpful.
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

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