Cancer Tutor Forum Cancer Types Head and Neck Cancers Teeth causing sores post treatment

This topic contains 2 replies, has 2 voices, and was last updated by  anjisagi 1 week, 5 days ago.

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  • #97166

    anjisagi

    Hi,

    I've written about my father's mouth cancer (jawbone stage 4, squameous cell carcinoma) treatment a couple of times here. A quick update would be that he's doing quite fine and we're focussing on his diet a lot these days. He's still on semi-solid-liquid diet since the mandible still doesn't open wide enough. He has pain even when he tries to chew even the soft food, and there is a small bit of swelling around the TMJ area that he feels pain in.

    His main sores are healing up except some from the radiation on the roof of his mouth, tongue and at the end of the tongue. Apart from that though, the molars on the upper jaw keeps rubbing against his tongue and inner cheek causing ulcers that just don't get to go away (The molars below were extracted years ago). The ulcer will perhaps look like its healing once, but will look sore all over again. We don't know what to do. None of the oral ulcer ointments seem to be really working and I believe tooth extraction won't be possible post radiation.

    We're thinking we might trim the molars so it won't rub too often, but that's something we'll be discussing with the dental surgeon soon. Anybody here had similar issues post treatment, where the teeth rubbed and caused sores/ulcers? How did you deal with it?

    Also, we've noticed this hard lump below his chin which we've been told is a side effect of the radiation. Anybody else had this issue too? Will it ever go away?

    Thanks.

    #97195

    Ozie

    The forum software recorded my reply, but the message is not visible. Another bug I suppose, so here I try again:
    _______________
    Hello again Anjisagi,

    I also suffered from mouth ulcers after radiation therapy. Some ulcers disappeared quickly after the end of the treatment. Other remained longer and even now years later these reappear occasionally.
    The worse ones occur where there is mechanical friction. From teeth in the case of your father, from a hard scar that formed where I had an internal skin graft along my lower jaw in my case.

    Any spot of irritation in the mouth, like these ulcers, should be dealt with as such spots are at risk of giving rise to new OSCC (Oral Squamous Cell Carcinoma) tumours with time.

    You may have already been told this: The thing that helps most in this case is extreme hygiene.
    After any meal, even the smallest bite, even after only a cup of tea or coffee, I rinse my mouth thoroughly with a saline solution containing table salt and baking soda (sodium bicarbonate). This immediately soothes any pain and reduces the irritation by lowering the acidity in the mouth.
    Many years after radiation therapy I still continue to do this on average up to 4-5 times a day. I am also using a manual dental water jet (called a Power Floss) to squirt in some of the saline solution gently into the odd corner and flush out any food residue.

    As your father's sores come and go, with a little luck such a reduction of the acidity in the mouth with a saline and alkaline solution may be sufficient to control the issue.

    Making the saline solution (proportions are approximate and do not need to be precise):
    In 1/2 glass (about 100 ml) of lukewarm water, disolve a small quantity (slightly less than 1/4 teaspoon, about 1g) each of table salt and baking soda. Adjust the quantity in function of your father's needs.

    Give my regards to your father. Tell him that my plant-based treatment for oral cancer is showing quite encouraging results and that it makes me quite happy to hear that he is doing fine. Besides hygiene, diet is another essential aspect, so you seem to be going in the right direction.

    #97417

    anjisagi

    Hello Ozie,

    Thank you for responding here. I read your reply out to my father and it probably made him feel a little better to know that it is a simple action that he needs to incorporate daily. I will have to get him a dental floss too; looks like it might be helpful.
    Thanks again!

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