There seems to be a lack of activity at the moment.
How do you all go finding a dentist who understand cancer treatment and the consequences?
I have seen a few dentist in my 17 years post treatment and each one of them has told me that as it was so long ago it is irrelevant.
This is unfortunately not true but its not easy trying to explain this to a dentist
Was anyone given a dental alert card from the hospital or told about fluoride trays?
What about descale and polish at the hygienist?
I have been having 3 monthly ultrasonic descales on the advise of my dentist and have had periodontal deep cleaning and then read...Special Mouth Instructions for Head and Neck Radiation Patients
During Radiation Treatment
Always notify your dental office that you are having radiation treatment so that they can check with your radiation oncologist before your visit to discuss necessary treatment for your specific condition. You may need antibiotic premedication before any dental work or dental cleaning is done. An ultrasonic scaler (water scaler) should not be used for dental cleanings and no deep scaling which could expose the bone.
Many of the head and neck radiation patients will experience mouth problems during radiation treatment due to the effect of radiation on the salivary glands. Your doctor will try to lessen these effects as much as possible with shields that will protect the salivary glands, but this is not always possible. Approximately one week after radiation begins, your mouth may become noticeably drier, your tissues may become thinner and more prone to infections, and your taste may be altered.
These problems will usually end from several weeks to months after the radiation treatment has ended; however, dry mouth may persist. Dry mouth promotes decay of the teeth and you will need to have fluoride tray treatments every day for the rest of your life. Follow the fluoride treatments instructions above. By keeping your mouth moist and clean, you will have a better chance of avoiding mouth soreness and infections.
Use the baking soda/salt rinse often to help keep your mouth moist and clean (see Rinses in Mouth Care During Treatment).
After Treatment To Top of Page
All Head and Neck Patients
There may have been permanent changes to your mouth due to the radiation therapy which will put you into a special medical-dental category. Check with your cancer doctor to see if you need antibiotic premedication before your dental visits.
Patients Without Teeth
No new dentures until gums have returned to normal. This may take 6 months to a year or more.
Dentures should fit without soft relines and cause no irritation to the gums.
Have an oral cancer examination every time you have a dental check-up.
Patients With Teeth
Continue the daily fluoride treatments for the rest of their life. Do not use an acidulated or flavored fluoride. See fluoride tray instructions in Mouth Care During Treatment
Have dental check-ups regularly and always have an oral cancer examination during your visit.
There must be no trauma to your mouth tissues, gums, or bone during any dental procedure. No ultrasonic scalers or deep scaling during cleanings as this may cause bone exposure.
Dentures or partials must fit with no soft relines or irritation to the gums.
No teeth removed or periodontal (gum) surgery without consulting your radiation oncologist or dentist who did the preradiation work-up.