#21304 10-12-2006 04:09 PM | Joined: Oct 2006 Posts: 3 Member | OP  Member
Joined: Oct 2006 Posts: 3 | I begin chemo/radiation next week(10-17). My doc said I would get sores in my mouth next to the gold crowns on my teeth because the radiation reflects off the gold and causes local high doses in soft tissue next to the crown. I found a reference on the internet saying "the latter problem can be reduced by fitting bulky "teeth guards," custom-made by dentists, for the simulation and treatments. I can't find any such teeth guards and my dentist and doc can't either. Does anyone know where I can find these or what they are made of?? Thanks.
Monty Cunningham, metastatic squamous cell carconoma with UP,(re-occuring) & thyroid cancer
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#21305 10-12-2006 04:55 PM | Joined: Sep 2006 Posts: 493 Platinum Member (300+ posts) | | Platinum Member (300+ posts)
Joined: Sep 2006 Posts: 493 | My dentist took impressions and had them made for me. As you say they are just mouth guard with extra material around the gold work. I would think any Dentist that makes denture and such could do it.
Tim Stoj
60 yr old. Dx Jun 06 with BOT Stage IV. Neck dissesction on 19 Jun 06. Started Tx on 21 Aug 06/completed 33 IMRTs and 3 CT (2 Cisplat & 1 Carboplat) on 5 Oct 06.
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#21306 10-12-2006 05:06 PM | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Nov 2002 Posts: 3,552 | I wedged cotton rolls between my inner cheeks and the crowns and also my tongue and the crowns and I think it helped the side scatter a little bit. The nurses station would provide them for me. It was an additional pain in the butt to position those things and keep them in place for the entire treatment but I did. You might try wearing your dental trays if you have them. Check with the RO first. They also have generic mouth guards and I tried them as well.
Gary Allsebrook
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Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
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"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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#21307 10-13-2006 08:42 AM | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | | Senior Patient Advocate Patient Advocate (old timer, 2000 posts)
Joined: Sep 2006 Posts: 8,311 | My dentist replaced all my gold fillings with porcelain prior to tx beginning. I didn't have that many gold ones left but that may be a solution.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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#21308 10-13-2006 03:12 PM | Joined: Mar 2002 Posts: 4,918 Likes: 67 OCF Founder Patient Advocate (old timer, 2000 posts) | | OCF Founder Patient Advocate (old timer, 2000 posts)
Joined: Mar 2002 Posts: 4,918 Likes: 67 | That would only work for filings and not crowns. Even porcelain crowns have a precious metal substructure under the porcelain....afterall they are just glass.
Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.
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#21309 10-14-2006 04:02 PM | Joined: Apr 2005 Posts: 2,219 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Apr 2005 Posts: 2,219 | Every day I learn something new. Never heard about radiation reflecting off gold crowns.
Just for informational purposes, 95% of the crowns I have made in the last year and a half are all porcelain, with no metal understructure. These crowns are made in the office, in one visit using CAD-CAM technology. No impressions and no temporary crowns. These crowns are called CEREC crowns. I started using this technology right after returning back to work after my surgery.
Jerry
Jerry
Retired Dentist, 59 years old at diagnosis. SCC of the left lateral border of the tongue (Stage I). Partial glossectomy and 30 nodes removed, 4/6/05. Nodes all clear. No chemo no radiation 18 year survivor.
"Whatever doesn't kill me, makes me stronger"
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#21310 10-14-2006 08:35 PM | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Nov 2002 Posts: 3,552 | I have one of those. My dentist got the system last year. It's pretty slick. I got to watch the machine manufacture the filling. They fit so tight that sometimes they have trouble getting it out when they are fitting it prior to bonding. They scan the tooth surface with a laser.
Gary Allsebrook
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Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
________________________________________________________
"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)
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