Toothache

I have started denosomab and now on injection 4. My tooth is rather painful when I eat or drink? Is this normal and what should I do about it as it’s the weekend? I have taken ibuprofen to counteract any infection.

  • I used to work in a dental environment for a few years. Better touching base with your cancer team. Last thing you want is a tooth infection. Plus, ibuprofen does absolutely nothing for infections, and are merely to help with pain. Even antibiotics are rather poor at dealing with tooth infections because when a tooth is infected, it has no blood supply, and for antibiotics to work they need a blood supply to take them to the source of infection. Antibiotics simply help with any infection that has escaped the tooth.

    As for what is causing it, could be anything, the list is long. Could be an infection, gum issue, cracked tooth, loose filling, could simply be sensitivity, teeth grinding/clenching or even a nerve issue with the trigeminal nerve that runs through each side of your face etc etc.

    If the tooth is sensitive to cold, it can be a benign thing such as sensitivity etc. If it's painful to heat, it's usually indicative of a dying tooth. Those need either root canalled or extracted.

    Regardless, dental pain when receiving cancer treatment needs seen to promptly, as do infections. Get an infection ruled out.

  • Forgot to add, if it happens to be an upper tooth, could be a sinus issue. But still call your team.

  • Thank you so much for your in depth response! I shall continue to try and contact my team for further advice.

  • Hello and thanks for your post

    I'm afraid the nurses do not work over the weekend, so I'm not sure if you have already spoken to someone about this.

    Denosumab can cause tooth and jaw pain. It's important to let your specialist team that you are experiencing this and they will advise you further. They may also suggest trying another painkiller if your current one is not controlling your pain.

    If you have a specialist nurse (CNS) involved in your care then perhaps you can discuss this with them. You often have to call and leave them a message and they will get back to you.  

    Give us a ring if you would like to talk anything over. The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Kind regards,

    Celene