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Can Chemotherapy Cause Periodontal Disease?
Question: I have been told that I am at low risk for osteoradionecrosis. I had Hodgkin's Lymphoma and chemo and radiation to treat it a year and a half ago. I'm losing my teeth due to periodontal disease but am concerned that there is any chance of getting ojn if I remove the teeth. I just don't feel comfortable removing the teeth, especially rapidly, all in one session. Is there any other alternative to protect my jaw health? Should I see an ortho, osteo doctor or periodontist and try to retain the teeth to give myself no chance of getting ojn? Thanks. Wish I wasn't at any risk for this condition. XXXX
Brief Answer:
probe to osteoradionecrosis, consult oral physician
Detailed Answer:
Thanks for your query. I have gone through your query.
As far as the poor dental status is concerned, it is common to have periodontal or gum issues and dental decay following chemo and radiotherapy. Following chemo and radiotherapy there are so many adverse effects and complication by these treatments that includes reduced salivary secretion, decreased cleansing activity, increased caries activity.
Nothing to be panic, if the teeth are in really bad condition you need to get it removed. If the teeth have sufficient bone support then we can save it by periodontal and endodontic treatment. Consult an oral physician and get it evaluated. If teeth are bad then you need to consult an oral and maxillofacial surgeon and get it treated. If the teeth have periodontal or bone loss then you need to consult a periodontist.
The chances of developing osteoradionecrosis following radiotherapy is common but following extraction depends on many factors so you would have got all issues cleared before radiotherapy. We are not suppose to do any surgical procedures till 6 months following radiotherapy. But you have completed 1 year. Nothing to worry we can take extra precautions and do the treatment. So consult a oral physician and get the status of your teeth and gums later we can decide what treatment you need to go for..
I hope I have answered your query. If you have any queries reply me back. Take care.
probe to osteoradionecrosis, consult oral physician
Detailed Answer:
Thanks for your query. I have gone through your query.
As far as the poor dental status is concerned, it is common to have periodontal or gum issues and dental decay following chemo and radiotherapy. Following chemo and radiotherapy there are so many adverse effects and complication by these treatments that includes reduced salivary secretion, decreased cleansing activity, increased caries activity.
Nothing to be panic, if the teeth are in really bad condition you need to get it removed. If the teeth have sufficient bone support then we can save it by periodontal and endodontic treatment. Consult an oral physician and get it evaluated. If teeth are bad then you need to consult an oral and maxillofacial surgeon and get it treated. If the teeth have periodontal or bone loss then you need to consult a periodontist.
The chances of developing osteoradionecrosis following radiotherapy is common but following extraction depends on many factors so you would have got all issues cleared before radiotherapy. We are not suppose to do any surgical procedures till 6 months following radiotherapy. But you have completed 1 year. Nothing to worry we can take extra precautions and do the treatment. So consult a oral physician and get the status of your teeth and gums later we can decide what treatment you need to go for..
I hope I have answered your query. If you have any queries reply me back. Take care.
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
Dr. Mahesh Kumar T S
Dentist, Oral and Maxillofacial Surgery
Practicing since :2007
Answered : 3377 Questions
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