Being treated at Head & Neck specialist unit at Churchill Hospital Oxford, which I'm told are at the forefront of Head and Neck cancers, and the team so far have been nothing short of excellent in every way, especially as like many, I was pretty scared both waiting for my diagnosis, and concerned about the treatment and recovery period. I have a family member that is going to have to have open heart surgery. There are several reasons why you may need teeth removed when receiving orthodontic treatment. cardinalfamilydental.com/blog/everything-about-full-mouth-extractions Plays games with your head for sure but the fact that your prognosis is "treatment with an intent to cure" is what you need focus on in my opinion. Dental work can change the shape of your mouth and face slightly. Teeth that are painful, have a history of pain, sensitivity to percussion or apical radiolucency should be considered for extraction prior to receiving high dose radiotherapy. If you have dentures, you should make it a habit to cleaning them manually every night with a brush, as well as cleaning your gums with a very soft brush or moist washcloth. My son was crying himself to sleep at 4.00am on a regular basis; many days he left home to get the bus to college and just didn't get on it, walked the streets for 7/8 hours before he was due home. This is why dentures that used to fit well before the treatment now suddenly slip off or appear to have become loose. Radiotherapy is also sometimes used to treat benign (non-cancerous) tumours and other conditions, such as thyroid disease and some blood disorders. Ep-stein et al (1987) presented five cases of ORN in 92 patients with 454 teeth extracted in a median of 26 days before commencement of radiotherapy. Great strides have been made in the field of cancer treatment, but many of the drugs and procedures used to kill cancer cells have a myriad of side effects on the body. You may have stitches, depending on which tooth was removed, and why. That is why it's important to remove any teeth before your radiotherapy treatment commences so that the risk of this complication occurring is reduced. Ideally, every single cancer patient that is about to undergo radiotherapy targeted at the head and neck region would undergo a pre-treatment oral evaluation. a median of 25.3 days before radiotherapy. I think you are definitely right about needing a good sense of humour and being realistic. And here's the opposite of what you asked for (well, someone had to, it might as well be me): I had my wisdom teeth out years ago. Please support our emergency appeal. However today I met with the Dental team after the O.P.G. If you have the teeth out and bone grafting done first, he'll be without teeth for 6-9 months while everything heals- not an ideal situation because he has to eat. I feel very well at the moment, but with treatment about to start I am well aware that will not last, 30 bits of Radiotherapy for me and two shots of Chemo over 6 weeks, and I've listened to my consultant diligently, and read numerous blogs and stories about the "recovery" period, under no illusions with just this blasted teeth issue hanging over me. Keeping, HPV-induced head and neck cancer has been well demonstrated to respond to almost all forms of therap, Consider a Family Medicine Doctor For the Whole Family. You might experience lip protrusions too. "Life might not be the party we were expecting but while we are here we should dance.". We’re here to provide physical, financial and emotional support. As part of their overall medical review, all expeditioners have a dental check before they depart for Antarctica. Radiotherapy is a treatment involving the use of high-energy radiation. That means another 6 weeks on soft food. Teeth Extractions before Radiotherapy. Some dentists recommend removing wisdom teeth if they don't fully emerge. Can't help you about the dental query as I'd had my wisdom teeth extracted many years previously. Mine was base of tongue cancer and I was successfully treated in 2013. Many dentists believe it's better to remove wisdom teeth at a younger age, before the roots and bone are fully formed, and when recovery is generally faster after surgery. My treatment starts in earnest in around two weeks time, and I was just getting round to accepting the diagnosis, the treatment, radiation mask (for me claustrophobic when clamped down) PEG tube and all the other paraphernalia associated with this particular cancer. It's been recommended by Hospital Dentist but he also said it's "my decision" whilst trying to convince me.......hard isn't it? Should tooth removal be necessary, the jawbone may not be able to heal, resulting in osteoradionecrosis, a very painful and potentially debilitating condition. 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