OHHH lordy, are you trying to get me started? Go back 24 years ago, before my first treatment, doc says go get all teeth in A 1 shape. I did. No problems at all. After that round of treatments was over, I started with fillings, root canals, crowns, etc. Each time asking, "so do you think I should just pull all these"? Every time it was NO NO, after this last time of getting treated, my teeth started falling apart all over front, sides , back. And now that I have had radiation twice to the jaws, they don't want to pull them, for fear of Osteoradionecrosis. The jaw bone can get rotten if it doesn't heal after a tooth is pulled.
Their answer? Go get 48K worth of HBO treatments, then 20K worth of reconstructive surgery on my mouth to save some teeth, and not get the disease. SSUUURREEEE.
So, my answer? Start pulling and lets see what happens. So far about 8 down, 18 to go or so. so far so good. If I would have had them pulled 10 years ago when I thought I should have, I would have save several thousand.
You have to do triple work on your teeth now, keep water, rinse several times a day, brush 3 times, it's a full time job. Then they say you have to go get flouride treatments, cleanin once a month. etc.