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.

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