Did the dentist use oxygen or saliva suction during the treatment? Use an spray or other topicals to nunb? I think your sore through was aggravated by the dental cleaning and not from the radiation per se.
Head & Neck/Throat Cancer Questions
8 Weeks Post Radiation
Asked by lady1 on Saturday, February 16, 2013
8 Weeks Post Radiation
Was feeling better gradually until Wednesday- went for dental cleaning and throat pain got significantly worse 2 days after cleaning. Not sure it is related or not- or is it just normal to take 5 steps forward and 3 steps back during this recovery period? Throat pain better and then gets worse- is this expected?
4 Answers from the Community
I had SCC, base of tongue, left side.
I was told that, is addition to the destruction of the tumor and any/all salivary glands in the path of the radiation beam, the capillarys of the adjacent mandible were probably also destroyed. If I underwent any oral surgery that involved the bone structure, I had a very good chance of getting osteonecrosis. Hyperbaric Oxygen Therapy (H.O.T.) has been proven to be beneficial in the majority patients in inhibiting the occurance of any post oral surgery complications.
Post-chemo and radiation, I required some oral surgery (to plane down the left lingual side of my mandible due to exposed bone). Prior to the oral surgery, I had to go through an intensive (two 90-minute sessions, twice a day, Monday through Friday for seventeen (17!) days)) regimen of HOT. This HOT was to aid in the healing of the tissues disturbed during the surgery. Post-oral surgery, had more HOT, but only for ten sessions. And it worked! I experienced rapid healing with NO complications.
Now, what does this have to do with what you are experiencing post dental prophylaxis? Probably nothing, but your dentist, oncologist, and radiologist should all be made aware of what is going on.
To speak to the first part of your concerns, I would contact the dentist and ask him if he knew why you had such an increase in pain after his treatment. As to taking 5 steps forward and 3 steps back, in our case YES that is totally normal. Good days and bad days. Initially my husband took one step forward and three steps back, then as time passed he had more better days than bad days and now (1 1/2 yrs later) he has all good days :) There are still some challenges with saliva function but acupuncture and my super shake packed full of vitamins seem to be helping with saliva production. Healing takes a lot of time, but you will get there. Sending good thoughts your way!