• Dental care

    Asked by donnatu9122 on Monday, July 9, 2018

    Dental care

    I have always been to the dentist every six months for a cleaning. Since my surgery, and radiation, I have had a lot of trouble with lack of saliva. The bottom row of teeth are now in serious trouble. They are drying and cracking and breaking. I have used mouth washes that give extra moisture, and use Xylimelts for dry mouth. But the teeth keep chipping away. I see my dentist this Wednesday for his help. Please help me ask the right questions. I need to know what my options are.

    5 Answers from the Community

    5 answers
    • GregP_WN's Avatar

      Mine done the same thing. You can have them cleaned all you want and it still doesn't help. Lack of saliva causes huge problems, and the radiation to the area basically kills the teeth. Have them pulled. An oral surgeon is best, one that knows the facts about having radiation to the jaw and the possiblility of getting Osteoradionecrosis. That is a condition that doesn't let the socket heal where the tooth was pulled. The bone rots and eventually breaks. It's a very serious problem. My oral surgeon first wouldn't pull mine. They wanted to find an alternative. But his alternatives were in the 75K range and I was all in for pulling them. Mine were pulled two a month, for about 6 months to be sure they would heal before any more were pulled. Then I think about 8 were pulled at the last. Hyperbaric Oxygen Treatments are recommended, expensive, but your insurance could cover it. Mine would not. Our best to you.

      over 1 year ago
    • donnatu9122's Avatar

      Thank you Greg. As you understand, I feel embarrassed every time I am seen. I am so happy to still be here to have such a problem. There are some social events coming up this summer, and early fall. I am not looking forward to them as of today. I will have this conversation with my dentist.

      over 1 year ago
    • geekling's Avatar

      I wish I knew how to help you because I would also then know how to help myself.

      I am looking for a dental surgeon and thinking to become a medical tourist.

      Best wishes

      over 1 year ago
    • SandiA's Avatar

      Before I started radiation they made cast of my teeth and I have trays and special meds where I can give myself a fluoride treatment. They help but I still have lots of problems and for the first time in my life I have had several cavities. I used the mouthwash but I also keep biotene spray in my purse at all times. I use it often. I hope they are able to help you. Like you said we are glad to be around to have such a problem but it sure can be annoying.

      over 1 year ago
    • Thycan's Avatar


      Saw this doc several years ago at a ThyCa conference. He was right on the money. Unfortunately, most of us who had RAI were NEVER told to see a dentist prior to treatment. I had RAI in 1999, I do hope things have changed and that patients are now being advised to see a dentist prior to treatment so that any problems can be addressed and possibly a flouride treatment be done. Though I haven't suffered chipped or cracked teeth, due to loss of saliva I have had many cavities since. I see my dentist every 6 months.

      Here's the video: ThyCa: Thyroid Cancer Survivors' Association, Inc.
      Published on Jan 24, 2015
      Preventing and Solving Issues for Your Mouth, Salivary Glands, and Teeth from Radiation Treatment, Both Radioactive Iodine and External Beam Radiation.
      Richard C. Cardoso, D.D.S., M.S., Oral Medicine Specialist


      over 1 year ago

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