Dental Treatment

[rosebine]

May need to have extractions soon, and i am a total coward and usually have sedation even for fillings . Wonder if anyone has been to the dentist while on chemo or on a PARP, if you had to go to a specialist dentist or have a referral from oncologist. I wasnt aware that I should have seen dentist prior to starting chemo.

[Caleda4]

Hi,I have been to dentist while on rucaparib. I did ask Oncologist what the procedure is. No antibiotics,unless she knew what they were first, ok with local anaesthetic, which I was given prior to cleaning, I was told to come off of the parp 2-3 days before, because I was not sure what treatment I would be given.

I don't normally mind the dentist, but on this occasion it was a dentist I had never seen before.

I wish you luck with your appointment. Take care.

[JustKBO]

Yes I’ve been. It was all as normal. 😬

[Realistic]

You will need expert advice on that one, l know l had a small incision at the end of my chemo and the doctor had to stop because l was bleeding l had to wait a few months. But doctor said it was the chemo. Just hope your not in pain with your teeth, by the way the incision wasnt in my mouth it was an implant in my stomach so it could be totally different hopefully. Sending love Sheilaf xxx

[rosebine]

Thanks, Ill have a chat with Hospital next appointment. Just hope the dentist willtreat me and let me have sedation. Only one dentist locally does this.(I can point out Ive just had 8 hours under general anaesthetic recently I suppose, that should reassure him!)

Youd think that going to the dentist would be a walk in the park now wouldnt you, but it still fills me with dread!

[SUE7777 in reply to rosebine]

I've been to the dentist for cleaning and a filling (I'm on chemo) no problem but an extraction might be another matter because of the bleeding aspect but I'm sure your team will be able to answer any questions.

[Saffery1]

Hi. I was on Avastin as part of frontline and had to wait for a dental filling, as it can cause uncontrollable bleeding. There has to be 42 days clear, so I had it done just before debulking. I'm not sure about PARPs and I need another replacement filling so will be checking at my consultants tomorrow x

[SopSinger]

I had a tooth extracted during chemo, because an old infection in the root was reactivated by the chemo immune suppression. My oncologist was very concerned and stopped the chemo until the infection was resolved. Similarly the dentist was concerned and didn't want to prescribe antibiotics. However, it got sorted out - the oncologist prescribed antibiotics, the dentist did the extraction, it all healed quickly and I only lost a couple of weeks from the chemo course. I just had a local anaesthetic for the extraction, didn't need sedation. Hope you manage to get it sorted out. Antibiotics are important, as infections in teeth can be extremely serious, so don't risk going without. Better to postpone the extraction if worst comes to worst.

[Jacky5]

I'm on Olaparib and have been for check ups and to see the hygienist. All performed as usually.L x

[TxEm]

I received several treatment both on infusion chemo (Doxil/carbo) and on Lymparza. My dentist coordinated with my oncologist. I would expect this to be the best approach.

[m_stok1]

Last week my mom and I went to see our family dentist because my mom had an immersive toothache. It was because of a tooth infection and the tooth need to be extracted. My mother is in treatment for leukemia for the past two years. Our dentist [edited by moderator] knows about it and he has all the treatment history. So he advised us to first consult the oncologist and ensured that he will start the process only after getting the approval. He also gave us a list of medicines and procedures to refer to the oncologist. Now we are waiting for his appointment. And my mother is having the painkillers for instant.

[NimmzJoey87]

For the last few years, my sister had also been through treatment for leukaemia. She suffered a tooth infection due to a big filling and required a dental crown. We went to a local dentist [ dentistoakville.com/service... ] and described her treatment history. So he suggested us to first speak with an oncologist and assured us that he would begin the process only after receiving approval. He also offered us a list of medications and treatments that we should discuss with the oncologist. We are currently awaiting his appointment. My dentist worked with my oncologist to organise treatment. I believe, it is the safest way.