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Oral Surgery/Wisdom tooth extraction,throat cancer

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Question
My spouse had stage 4b throat cancer. Went thru 7 weeks radiation, 3 chemo treatments. Wisdom tooth #16 extraction. Spouse is now in more pain which has lasted more than 16 days.  Spot has healed,no infection. Went for 2nd opinion and advise needs sequestrectomy #16.  Advised sharp bone just needs to be filed down. Neither oral surgeon contacted radiation dr. even thou I advised them that the radiation dr. stated they need to.  I read about HBO treatments on cancer website but was never advised or told about these treatments.
Questions: How does a person know if they should have HBO treatments ? X-Ray, ct what needs to be done.
What can a person expect after going thru radiation treatment regarding teeth,bone,nerves,etc. ?  Will X-Ray show the sharp bone ?  The oral surgeon who did the extraction, why didn't he take care of the sharp ?

Answer
Cindy - your questions are very good.  It sounds like there was complete lack of or minimal communication between the oral surgeon and the doctor prescribing treatments for your cancer. Without viewing X-rays or directly examining the surgical site,  I cannot say that a sequestration should be done prior or after attempts to reduce inflammation.  I have always felt that a reduction or elimination of inflammation prior to any type of surgery in an inflamed area is important.

I have used hyperbaric treatments quite a few times in similar or even more extensive situations.  You should speak with the surgeon to remove the bone spur, but having a course of hyperactive oxygen treatment prior to the necessary bone spur removal is important to reduce inflammation.

So you or your wife should speak with both doctors to arrange a proper sequence of treatment to reduce inflammation and pain.

If you have any further questions feel free to contact me again.

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Joel S. Teig, DMD, Diplomate ABOMS, retired

Expertise

I am a board certified oral and maxillofacial surgeon available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.

Experience

Board Certified Oral and Maxillofacial Surgeon practicing for over 20 years. Assistant Clincal Professor at State University School of Dentistry.

Organizations
American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

Education/Credentials
BA- University of Connecticut DMD-University of Pennsylvania School of Dental Medicine Oral and Maxillofacial Surgical Residency - Roosevelt Hospital, NYC

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