Tooth extraction 12 yrs post RT

I  am twelve years out of head & neck rt and now experiencing consequential dental issues. I was unaware/uninformed of the related risk of ORN when my dentist removed a tooth 12 months or so ago. However, I don't appear to have had any issues (yet!). . I now require two further extractions. .This time, I am more than aware of the risk this carries. I've spoken with my dentust and he is confident I am relatively safe 12 years post rt. This flies in the face of all I am reading.  

  In short, I really dont know what to do. I am getting extremely anxious.

  

Parents
  • Hello Rchurch

    Put your mind at rest after 12 years the blood vessels that were destroyed during radiotherapy and put you at risk of osteoradionecrosis of the jaw will have recovered sufficiently enough that tooth extraction should not be a problem. I had radiotherapy to the jaw 11 years ago and very recently had a tooth extracted. I am currently on immunotherapy and Denosumab which carries its own risk of osteonecrosis of the jaw. As a precaution the denosumab was stopped for a few months and I was referred by my dentist to the hospital for the extraction. I was given a course of antibiotics and mouthwash to use and a check up one month later. The extraction site is healthy and Ive had no problems since. Id trust your highly qualified dentists opinion over stuff on the internet. 

    Ed

  • That's not true,my husband had surgery radiotherapy and chemotherapy 20 years ago, recently had 3 teeth removed. The bone is breaking up and coming out of his gums and they've just found cancer in the space where the tooth was removed. 

Reply Children
  • Hello Mikey

    I really feel for your husband, osteonecrosis is an awful condition let alone the return of cancer. Hopefully his doctors can find some treatment for him, I'm aware in some cases that a piece of thigh bone can be used to patch the jaw. Radiotherapy is likely no longer an option, I was told I could  not have it twice in the same place. So  I am on palliative treatment for metastatic cancer now with immunotherapy which seems to be working well. Everyone responds differently to cancer and my account was my just own personal experience. It might be worth having a chat with the qualified nurses here  0808 800 4040 who will be able to discuss this in more detail. Best wishes for whatever lies ahead for you both.

    Ed