Treatment FAQ

what does radiation treatment do to your teeth

by Jason Windler PhD Published 2 years ago Updated 2 years ago
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Chemotherapy and radiation therapy may cause changes in the lining of the mouth and the salivary glands, which make saliva. This can upset the healthy balance of bacteria. These changes may lead to mouth sores, infections, and tooth decay.Apr 26, 2019

What are the side effects of radiation therapy?

How can I reduce problems in my mouth? Keep your teeth as clean as possible. . Many more bacteria and germs can cause tooth decay and infections in a mouth... Use fluoride in custom gel trays. . Studies on the use of fluoride in custom made gel trays show a reduction in tooth... Treatment of sore ...

How does radiation therapy affect teeth?

Cancer and radiation treatment may increase your risk for: Changes to your saliva production, including dry mouth (also known as xerostomia) Sensitivity or discomfort in your mouth. Difficulty chewing or swallowing. Changes to your sense of taste. Sores and peeling. Infection.

How long does it take to recover from radiation treatment?

In addition to causing sores on gums and in and around the mouth, sometimes the salivary glands are damaged by the radiation, leading to long-term struggles with dry mouth. Radiation can also make healing more difficult if dental surgery is needed following radiation treatment, especially if a tooth needs to be extracted post-treatment.

Why pull teeth before radiation?

13 hours ago · Systematic reviews have been published on the effect of therapeutic radiation on dental tissues in the past decade, highlighting impacts such as extensive prismatic structure damage to teeth and reduced biomechanical properties. Obliteration of tubules has been observed in studies.

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Does radiation directly damage tooth structure?

Radiation in the head and neck area can lead to direct damage of hard tooth structures such as changes in crystal composition, increased enamel solubility, and decreased microhardness, but unfortunately the mechanism of radiation-related caries has not been accurately described (14).

Can cancer treatment affect your teeth?

Chemotherapy can affect your teeth and other places in your mouth. Although chemo effectively kills cancer cells, it may also harm or kill healthy cells. If the chemotherapy medicines harm cells in your mouth such as your teeth, gums, or saliva glands, side effects can include: Painful teeth or gums.

How long does it take for your mouth to heal after radiation?

Mouth sores from radiation may last four to six weeks after your last radiation treatment.

Does radiation affect your gums?

Both head and neck radiation are used to kill cancer cells. But this process can also harm normal cells, including cells in the mouth. Side effects include problems with your teeth and gums, glands that make saliva and jaw bones. The side effects can hurt and make it hard to eat, talk and swallow.

Does cancer make your teeth fall out?

Loose teeth can occur for several reasons, usually some type of trauma to the mouth. However, when you have loose teeth with no apparent cause, this can be a sign of oral cancer.

Does radiation for breast cancer affect your teeth?

Radiation therapy can change the amount and consistency of your saliva. This increases your risk of tooth decay and gum disease. Having good oral hygiene is important in lowering your risk of these conditions. Your dentist may also recommend special fluoride treatments during and after radiation therapy.

Does radiation cause teeth to fall out?

Head and neck radiation causes other side effects in children, depending on the child's age. Problems with teeth are the most common. Permanent teeth may be slow to come in and may look different from normal teeth. Teeth may fall out.

Why are molars removed for radiation?

A dental examination before irradiation of head and neck cancers is important, Dr. Martin said, for two reasons: to impress on the patient the need for fluoride therapy and to remove any unrestorable, abscessed, or periodontally diseased teeth in the field of radiation therapy.

Can you get dentures after radiation?

Dentists' reluctance to provide dentures for head and neck cancer patients post-radiotherapy is often due to concerns about dry mouth and radiation caries. Dentists rarely noted the risk of osteoradionecrosis as a reason for not providing dentures for head and neck cancer patients post-radiotherapy.

Can you have dental implants after radiotherapy?

Typically dental implants are placed after a delay of 6 months after radiotherapy (27,44,45), but it is still unknown whether longer delays are beneficial. It have been reported that there is no significant difference between the survival rates of implants placed ≥12 months and ≤ 12 months after radiotherapy (18,24).

How does radiation affect your mouth?

Radiation can affect your healthy cells in addition to cancerous cells, putting tissues in your mouth and related systems at risk ...

How to prevent radiation side effects?

Steps to help reduce the likelihood of oral side-effects from radiation may include: Consume a balanced diet that includes nutrient-rich foods like fruits and vegetables. Limit foods and drinks that are high in sugar or acid.

How to get rid of a swollen gum?

Avoid alcohol, smoking, and tobacco products. Gently brush your teeth for two minutes twice daily using a soft-bristled toothbrush. Clean between your teeth once a day using floss, a flossing device, or an interdental cleaner.

What are the symptoms of radiation?

Sensitivity or discomfort in your mouth. Difficulty chewing or swallowing. Changes to your sense of taste. Sores and peeling. Infection. Cavities. Gum disease. Jaw problems. Some of these symptoms may resolve on their own, especially if they occur during your course of radiation treatment or chemotherapy.

Why is it important to examine your mouth?

Important note: In addition to seeing your dental professional more frequently than you would otherwise, you should examine your mouth regularly for signs of oral concerns. This will help you stay ahead of potential problems that can cause health issues associated with radiation, like an infection.

Can radiation treatment help prevent cancer?

Regardless of your radiation treatment or cancer stage, the power to help prevent oral conditions is in your hands . Your focus on a proper dental routine and diet can reduce your likelihood of developing oral side-effects from radiation therapy and cancer. It’s a good rule to remember that prevention is always a better option than treatment when possible.

Can radiation cause oral cancer?

Additionally, cancer itself can cause oral problems, and the likelihood of this increases in cases where the cancer is located in your head, neck, or mouth. Radiation side-effects or cancer can be temporary or chronic and range in severity. They typically occur with treatment but may not appear until afterward.

Radiation Oncology and Dental Health

Does radiation affect your teeth? Unfortunately, radiation, though an important tool in treating numerous varieties of cancer, can have some serious and unpleasant side effects that may have a negative impact on oral health. Radiation treatments on the head and neck, in particular, can complicate oral health.

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How to prevent tooth decay from radiation?

Because prevention starts at home, ensure that you brush your teeth twice a day for at least two minutes each time and clean between your teeth at least once a day. Suppose your gums are sore due to radiation therapy. In that case, your dental professional may recommend using an extra soft-bristled toothbrush that won't further irritate them.

What happens when you get radiation?

Radiation damages your salivary glands and leads to xerostomia, also known as dry mouth, which has many additional effects other than making your mouth uncomfortably dry. Saliva does more than just moisten your mouth.

How does radiation cause caries?

Caries form when bacteria-filled plaque accumulates on your teeth and produces acids that eat away at the teeth's surface. This process plays a significant role in the development of radiation caries, but, in this case, there is more to the story. According to the National Cancer Institute, radiation causes many changes inside your mouth that make you more susceptible to tooth decay.

How do you know if you have radiation caries?

You may not find out that you have radiation caries in the early stages because symptoms are often not noticeable until they get more serious. This is because enamel, the outer layer of your teeth, doesn't have any nerves. Once the decay passes through your enamel and into the sensitive tissue inside, you begin to feel pain and sensitivity in the affected teeth. And because this type of decay is rampant and can spread between teeth, you may notice symptoms in more than one tooth.

Can radiation cause tooth decay?

However, it may surprise you to learn that radiation can cause several side-effects inside your mouth, including radiation caries, a type of rampant tooth decay that occurs following treatment. Dental caries, also known as tooth decay, lead to cavities (deep caries).

Does a dentist help with radiation caries?

Your dentist may recommend a variety of in-office treatments to help prevent radiation caries, too.

Can radiation caries be a stressor?

Take comfort knowing that with a good oral care routine and a little help from your dental professional, radiation caries doesn't have to be on your list of stressors. Your dental professional is there to point you in ...

What To Use Instead Of Aloe Vera

Its clear that there are no benefits as far as aloe vera is concerned in post-radiation treatment. However, this doesnt mean that there arent any solutions to dealing with radiodermatitis and its painful side effects.

Please Keep Your Dental Team Informed About Your Treatment

If you are being treated for breast cancer, it is essential that you inform your dentist. This is because there are many medications used in the treatment of this disease which may impact both on your oral health and the dental treatments that may be required.

External Radiation Therapy Side Effects

One of the main side effects of external radiation therapy is skin changes in the treated area.

External Beam Radiation Used For Oral And Oropharyngeal Cancers

External beam radiation therapy is the type of radiation therapy most often used to treat oral cavity or oropharyngeal cancer or its spread to other organs. It focuses radiation from a source outside the body onto the cancer.

Treatment Of Onj Usually Includes Treating The Infection And Good Dental Hygiene

Removing the infected tissue, which may include bone. Laser surgery may be used.

Oral Health Effects Of Breast Cancer Therapy

Remaining up to date on breast cancer treatments and their implications is integral to advising this population on maintaining their oral health.

Why Do I Feel Fatigued

During radiation therapy, the body uses a lot of energy healing itself. Stress related to your illness, daily trips for treatment, and the effects of radiation on normal cells all may contribute to fatigue. Most people begin to feel tired after a few weeks of radiation therapy.

How long do side effects last after radiation treatment?

Early side effects happen during or shortly after treatment. These side effects tend to be short-term, mild, and treatable. They’re usually gone within a few weeks after treatment ends. The most common early side effects are fatigue (feeling tired) and skin changes. Other early side effects usually are related to the area being treated, such as hair loss and mouth problems when radiation treatment is given to this area.

What is the best treatment for radiation?

One way to reduce side effects is by using radioprotective drugs, but these are only used for certain types of radiation given to certain parts of the body. These drugs are given before radiation treatment to protect certain normal tissues in the treatment area. The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy.

How long does it take for radiation to show up in the brain?

Radiation to the brain can also have side effects that show up later – usually from 6 months to many years after treatment ends. These delayed effects can include serious problems such as memory loss, stroke-like symptoms, and poor brain function.

How long does it take for radiation to cause side effects?

Late side effects can take months or even years to develop. They can occur in any normal tissue in the body that has received radiation. The risk of late side effects depends on the area treated as well as the radiation dose that was used. Careful treatment planning can help avoid serious long-term side effects.

What is the most common drug used for radiation therapy?

The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy. Not all doctors agree on how these drugs should be used in radiation therapy. These drugs have their own side effects, too, so be sure you understand what to look for.

How long does it take for radiation side effects to go away?

Remember that the type of radiation side effects you might have depends on the prescribed dose and schedule. Most side effects go away within a few months of ending treatment. Some side effects may continue after treatment ends because it takes time for the healthy cells to recover from radiation.

What are the side effects of brachytherapy?

If your treatment includes brachytherapy (internal radiation implants), you might notice breast tenderness, tightness, redness, and bruising. You may also have some of the same side effects that happen with external radiation treatment.

How does radiation help cancer?

When radiation is combined with surgery, it can be given: 1 Before surgery, to shrink the size of the cancer so it can be removed by surgery and be less likely to return. 2 During surgery, so that it goes straight to the cancer without passing through the skin. Radiation therapy used this way is called intraoperative radiation. With this technique, doctors can more easily protect nearby normal tissues from radiation. 3 After surgery to kill any cancer cells that remain.

Why do people with cancer need radiation?

Why People with Cancer Receive Radiation Therapy. Radiation therapy is used to treat cancer and ease cancer symptoms . When used to treat cancer, radiation therapy can cure cancer, prevent it from returning, or stop or slow its growth. When treatments are used to ease symptoms, they are known as palliative treatments.

What is intraoperative radiation therapy?

During surgery, so that it goes straight to the cancer without passing through the skin. Radiation therapy used this way is called intraoperative radiation.

What is the treatment for cancer pain?

Pain from cancer that has spread to the bone can be treated with systemic radiation therapy drugs called radiopharmaceuticals.

What is targeted radiotherapy?

Another type of systemic radiation therapy, called targeted radionuclide therapy, is used to treat some patients who have advanced prostate cancer or gastroenteropancreatic neuroendocrine tumor (GEP-NET). This type of treatment may also be referred to as molecular radiotherapy.

What is the best radiation treatment for thyroid cancer?

A systemic radiation therapy called radioactive iodine, or I-131, is most often used to treat certain types of thyroid cancer.

What is external beam radiation therapy?

External Beam Radiation Therapy. External beam radiation therapy comes from a machine that aims radiation at your cancer. The machine is large and may be noisy. It does not touch you, but can move around you, sending radiation to a part of your body from many directions.

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