| 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 trays were molded to fit my teeth and they fit perfectly until a month ago when I left them out one night and one of my cats took them all over the house. It took me 2 days to find them and they are not quite the same now but I'm still using them. Guess I'm lucky one of the cats found them as my puppy would have just eaten them.
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.
| | | | Joined: Apr 2005 Posts: 2,219 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,219 | Yes, you should have custom trays made.
It would be unusual for a tooth to crack when a "small surface filling" is done. Teeth can have hidden fractures in them that even a dentist won't see and they don't show on x-rays. All it takes is biting on something hard to cause a tooth to break. Fractures can go undetected for years. Also chewing on ice can lead to fractures in the enamel.
Ken's wife & Samta,
You will find a great deal of information on this website by using the search fields at the top of this page and on the home page by typing in HBO or the full name.
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"
| | | | Joined: Nov 2005 Posts: 1,128 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Nov 2005 Posts: 1,128 | In the office they likely use one size fitz all, but you want the custom made ones to ensure they fit well and keep the fluoride in the right place (I find that I can get the paste or gel into the silicone trays just right and not have the stuf all over my mouth).
Age 67 1/2 Ventral Tongue SCC T2N0M0G1 10/05 Anterior Tongue SCC T2N0M0G2 6/08 Base of Tongue SCC T2N0M0G2 12/08 Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06 Neck dissection, trach, PEG & forearm free flap (6/08) Total glossectomy, trach, PEG & thigh free flap (12/08) On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
| | | | Joined: Aug 2007 Posts: 580 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Aug 2007 Posts: 580 | I agree with my wonderful colleague on the undetected fracture it is a common phenomenon that is very hard to diagnose let alone see (probably more undected ones in Jerry's practice with his age and failing eyesight, sometimers disease,...sorry Jerry just had too..)There is however a way that I have used on many occasions to determine if the tooth is, in fact fractured. Think of the small filling as the wedge in the wood that you bang on to split it. The forces applied to the wedge make it much easier to split the larger piece into smaller pieces. So...when you bite on this small filling if the bite is not perfect it puts adverse forces on the rest of the tooth. When the tooth starts to flex to the point where the stress is beyond normal the patient gets a sharp stabbing pain or "zing" in the tooth and subsequently doesn't chew on it (..and then blames the dentist for practicing substandard ...never mind). If a dentist cements a properly fitted orthodontic band around the circumference of the tooth all the adverse forces are directed down the root of the tooth and viola no more pain. If pain remains then I would suspect that a root canal or extraction would be in order. If the pain goes away the band can remain almost indefinately or a crown can be placed on the tooth.
Wow...I can certainly make a short story long...sorry..but you get the idea. Cheers, Mike
Dentist since 1995, 12 year Cancer Survivor, Father, Husband, Thankful to so many who supported me on my journey so far, and more than happy to comfort a friend. Live, Laugh, Love & Learn.
| | | | Joined: Apr 2005 Posts: 2,219 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,219 | [size:20pt] Mike,
Could you use a larger font please?
Jerry[/size]
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"
| | | | Joined: Aug 2007 Posts: 1,301 "OCF Down Under" Patient Advocate (1000+ posts) | "OCF Down Under" Patient Advocate (1000+ posts) Joined: Aug 2007 Posts: 1,301 | Love the way you guys provide a little light hearted entertainment in between reading all the sad stuff here 
History Leukoplakia bx 8/2006 SCC floor mouth T3N0M0- Verrucous Carcinoma. 14 hour 0p SCC-Right ND/excision/marginal mandibulectomy 9/2006, 4 teeth removed, flap from wrist, trach-ng 6 days- no chemo/rad. 6 ops and debulking (flap/tongue join) + bx's 2006-2012. bx Jan 2012 Hyperkeratosis-Epithelial Dysplasia 24cm GIST tumour removed 8/2013. Indefinite Oral Chemo.
1/31/16 passed away peacefully surrounded by family
| | | | Joined: Aug 2007 Posts: 580 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Aug 2007 Posts: 580 | Haaaa Haaaaa. Ohhhh myyy ribs ...Jerry you kill me ...now my wife is wondering if the medication will ever work. Me sitting here typing and laughing at the screen.
Jerry...where are the big keys that make the letters that big...Oh yeah we don't have those in Canada. Cheers folks I'll be here all week. Try the chicken.
Mike
Last edited by Dr. Mike; 09-19-2008 05:50 PM. Reason: sp
Dentist since 1995, 12 year Cancer Survivor, Father, Husband, Thankful to so many who supported me on my journey so far, and more than happy to comfort a friend. Live, Laugh, Love & Learn.
| | | | Joined: Apr 2005 Posts: 2,219 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,219 | Gabe,
When you spend most of your day "looking down in the mouth" and often hearing "I hate dentists", you have to have a good sense of humor. However, I try not to make my patients laugh when I have my fingers in their mouth.
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"
| | | | Joined: Aug 2008 Posts: 531 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 531 | Wow you guys are playing in a whole different field I had all my teeth removed over 6 years ago...should have been a sign then but my doctor told me that cause I had no teeth it helped saved my jaw bones prevented the cancer or took it longer to get to the bone. In any case true or not not sure but it is what I was told.
This experience not having teeth is well been a little bit easier can't expect to eat a big steak don't so don't miss it...my dentures are very comfortable and very functionable although not sure what way we are going to go now........I just know there was no more pain but I do understand having one's own teeth...If you can keep them awesome but just from the other side of the fence they ain't that bad...
Dianne
Dianne..treatment at cc at Victoria Hospital, London, Ontario...insulin dependant, Surgery Sept 8/08 Tracheotomy,composite resection and bilateral neck dissection, left radial forearm free flap... T2N0 squamous cell carcinoma. No radiation A little over 2 yrs clear YAY
| | | | Joined: Aug 2007 Posts: 580 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Aug 2007 Posts: 580 | Dianne, Understanding that you now have dentures, whether there were other options or not, you now have to move forward with them. There is really no reason why a good, functional and comfortably fitting denture should prevent you from eating a steak, apple or corn on the cob. You just have to adapt to the way they work. If, after much perserverance, you find yourself unable to accomplish eating and enjoying these foods you should probably consult the dentist who constructed them to see if they can be adjusted to accomodate the situation. If the answer is they cannot then you may want to consider having implants placed to support and anchor the dentures in your mouth so that they do not move or slip when you eat. Your existing dentures can easily be secured to implants without having new ones constructed. After all, eating is one of the simple pleasures of life and being a denture wearer should not deprive you of this. You just have to know what options are available. All the best. Mike
Dentist since 1995, 12 year Cancer Survivor, Father, Husband, Thankful to so many who supported me on my journey so far, and more than happy to comfort a friend. Live, Laugh, Love & Learn.
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