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Old 01-22-2009, 02:19 PM   #1
Believe51
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Unhappy ~Oh No, Broken Tooth~Guidance

Mighty Oak has broken a back tooth. Being on Zometa for 28 months is a concern; still in radiation so we cannot do anything yet. Trying to be proactive but did not get a chance with this one. He did see a dentist for the brief period of time he was stable.

Should I be looking for a specialty dentist?? What do you all suggest??>>Believe51
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Old 01-22-2009, 05:53 PM   #2
vickie h
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Hi Marie,
After being a front office manager in a dental office for over 15 years, I can offer you some advice. Please get Ed to a dentist, he doesn't need a specialty dentist (ie endodontist0 unless the break is pretty far down or near a nerve. Does it hurt when he breathes in and out with his mouth open? Does hot or cold liquid hurt? If not, he still needs to been seen and have that tooth taken care of.
I know they say not to have dental work done when on chemo, but I still go in to keep my mouth and gums healthy. You don't want dental caries starting there because of the bacteria, which is hard on the immune system. Call your dentist and at least have it xrayed and you can go from there. Wishing you the best, Love and hugs, Vickie
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Life's not about waiting for the storm to pass,
It's about learning to dance in the rain.


Feb 04 IBC IIIC/IV er-/pr- her2+++
3/04 TCH X4
7/ 04 MRM 9/04 Taxol/herceptin wkly 1 yr 33X rads
11/04 skin mets 33x rads,10/05 Avast/Herc. 11 mos.
8/ 06 PET mets lymphs, neck
9/ 06 Navelbine/herceptin
11/ 06 PET NED
2/ 07 skin mets, 4/07 Xeloda, 5/07 add Tykerb
2/ 08 Tykerb failed. Doxil /Herceptin 6 months
8/08 PET skin mets, 8/08 Abraxane/Avastin
11/ 08 PET prog., skin mets
1/09 PET/CT progress, 1/09 Ixempra, 2/09 add Xeloda and low dose Naltrexone
2/09 off Ixempra/Xeloda
3/09 navelbine/herc/cytoxin 4/09 PET shows regress.7/09 start Topotecan. Failed.
8/09 extensive mets rgt brst, back and torso. starting Pazopanib clinical trial.
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Old 01-25-2009, 01:32 AM   #3
harrie
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I agree with Vickie. At this point you do not need to see a specialist. A general dentist should be fine to evaluate the situation. Depending on the severity of the fracture will determine what kind of treatment is recommended. In any case, it should be evaluated now. Treatment considerations can be made consistent with what needs to be done and his current medical status.
The general dentist can refer out to a specialist depending on the treatment required.
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*** MARYANNE *** aka HARRIECANARIE

1993: right side DCIS, lumpectomy, rads
1999: left side DCIS, lumpectomy, rads, tamoxifen

2006:
BRCA 2 positive
Stage I, invasive DCIS (6mm x 5mm)
Grade: intermediate
sentinal node biopsy: neg
HER2/neu amplified 4.7
ER+/PR+
TOPO II neg
Oncotype dx 20
Bilat mastectomy with DIEP flap reconstruction
oophorectomy

2007:
6 cycles TCH (taxotere, carboplatin, herceptin)
finished 1 yr herceptin 05/07
Arimidex, stopped after almost 1 yr
Femara
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