Dental work after RT

Good evening Ray, i was told not to allow a dentist to remove any of my teeth after my treatment and surgery as it can cause severe bleeding. I did have to have one of my back teeth removed as it was causing problems but the dentist had to write a letter of referral to the Maxillofacial department as i was signed off by my consultant,  i expect you might have to do the same but worth checking beforehand. The said tooth was removed by my original consultant. Maybe times have changed Ray, good luck my friend, take care.

                                                                                                     Chris 

Hi

I was told all extractions in the future had to be done at dental hospital to minimise complications e.g.infections in the jaw, to reduce risk of ORN. My own dentist is on board with this.

I'm 19 months post treatment in Sheffield..Take care

Hi Ray I saw my oncologist recently he reiterated that any extractions must be referred to Leeds Dental hospital. My dentist is fully onboard with this I’m approaching 5 years. ORN can rear its head at any point in the future. 
Hazel x

Hi Ray

I agree with what all the others have said. I live in Australia and needed a tooth extracted 6years after my first radiotherapy.My dentist would not touch it as he said it was too risky after radiotherapy. I was referred by my dentist to a specialist dentist as I was not with the dental hospital at that stage. The specialist dentist got in touch with my radiotherapy doctor and found out all about the radiotherapy and where it was targeted before he took the tooth out. I did not have any troubles after the extraction.

I hope you don't need any extractions in the future as losing any teeth at all can affect your eating. Best to look after them and prevent an extraction unless absolutely necessary but I'm sure you do.

Lyn

Hi Lyn Yes I do, look after my teeth, always have, and lucky enough to still have most of them, at the ripe old age of 74. Hopefully I don't need any taken out in the near future, it was just a question I asked, and was surprised at what she said. Hope you are keeping well.

Ray.

Thanks for your answers, they are what I expected. I surprised at what the dentist said.

Regards to all. Ray.

old biker said:

Thanks for your answers

Hi Ray

I'll add my bit as well.

ORN is a result of fibrosis which is progressive. Your dentist has got it the wrong way round. Extractions are pretty safe soon after treatment...up to about a year. After that the risk increases and ORN is a lifetime risk. Any should always be done at a dental hospital. You should tell her.

Thanks Dani, I think I will be changing my dentist.

Hi Ray

Glad to hear that you have most of your teeth still. I am getting on quite well after my op 3 weeks ago which was part of my reconstructive surgery and do have a fairly good mouthful of teeth now albeit most of them being false. They look great though.

Glad all is going well with you and as far as I am concerned 74 is the new 54 so rock on.

Lyn

old biker said:

Thanks Dani, I think I will be changing my dentist.

Ray, I had to have a wisdom tooth out from my maxilla but on the treatment side a year after treatment. I was petrified and went armed to my my surgeon with info on PENTOCLO. He told me not necessary as little risk so they whipped it out, put me on antibiotics and all was good. I'm really OCD over dental care and take toothpicks, mouthwash and tooth brush everywhere. I never miss a dental appointment and have a varnish every three months