#61091 06-14-2007 06:24 AM | Joined: Jun 2006 Posts: 22 Member | OP  Member
Joined: Jun 2006 Posts: 22 | Hello everyone,
I need some advice.
My dentist has proposed to extract a wisdom tooth on the top right hand side of my mouth. I have had pain in the surrounding muscle and ear area for almost two months which does not respond to massage or osteopathy. The dentist thinks this may be due to the tooth.
I am a quite nervous about not healing properly after a tooth extraction as I had brachytherapy of the tongue April 2006. As a result an ulcer which developed on my tongue in December 2006 took 4 months and 50 sessions of HBO to heal. So I am wondering if extracting a tooth would mean another very lengthy healing process.
At the same time, I have also developed another ulcer in the middle of the tongue which my doctor says is a similar type to the last one (not dangerous, just resulting from the after effect of the bracyhtherapy). He is waiting to see if it grows any bigger before sending me back to HBO.
At this stage, the combination of the two pains is interfering with both work and sleep so I need to do something. However I would like to be a bit better informed before I decide what to do. Especially if it involves removing more pieces of my mouth!
My questions are:
- has anyone had their wisdom teeth extracted after radiotherapy, especially brachytherapy?
- did it take a long time to heal?
- did you have HBO afterwards? or before?
Redser
SCC of the left lateral border of the tongue.Partial glossectomy multiple nodes removed 01/06, T2/N0/M0.1 week Brachytherapy 04/06.Modified Neck dissection 1 node 06/06,negative. New ulcer 11/06,non cancerous, HBO treatment 01/07 to 03/07. 2007-2008 had speech therapy and voice training.OK now!
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#61092 06-14-2007 09:16 AM | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Nov 2002 Posts: 3,552 | Redser,
these are really good questions. I actually don't think that they have been asked before because so few of us have had brachytherapy. The vast majority here have had ionizing radiation with would make pre-dental extraction(s) HBO a necessity. I would be very careful to get several opinions for this, preferably from a dental oncologist before having the dental surgery done. You don't want to risk ORN.
The fact that you already HBO recently might be a factor. I would highly recommend professional advice on this I don't think anyone here will have an answer that is directly applicable to you.
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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#61093 07-17-2007 05:10 AM | Joined: Jun 2006 Posts: 22 Member | | OP Member
Joined: Jun 2006 Posts: 22 | Hi there,
A short update - my ENT specialist discussed the problem with my dentist and recommended that it would be better to leave all the wisdom teeth in place and just have a filling in the painful one.
So I had the filling today. I hope it cures the pain - so far its great as I am still numb from the anesthetic!
Redser
SCC of the left lateral border of the tongue.Partial glossectomy multiple nodes removed 01/06, T2/N0/M0.1 week Brachytherapy 04/06.Modified Neck dissection 1 node 06/06,negative. New ulcer 11/06,non cancerous, HBO treatment 01/07 to 03/07. 2007-2008 had speech therapy and voice training.OK now!
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