Medical Forum / General / Dentistry / February 2007
New here, and have a couple of questions
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Emily - 09 Feb 2007 02:24 GMT Hi. I just replied to a couple of posts for the first time, but I have been lurking a bit, and have a question. I have found that the dentists (and others here) are really great and share some good info, and that is cool. I started lurking shortly before I saw the dentist for the first time in AGES. I came here as part of a way to get over my dental phobia.
Well, I have found a great dentist to work with me, so that is good. I asked for that for Christmas, and I got VERY lucky in finding just the right one for me. Since then, I've gotten some potentially scary physical health news, but I don't know anything yet. I may be a diabetic (have an endocrinologist appointment tomorrow to find out for sure, already see them for a thyroid issue anyways, and he's the best around on diabetes too), I may also have cancer (found a WBC of 36.8 when seeing my regular doc about the diabetes, she ran the test twice, was sure it was a mistake, and then had me get more blood drawn at the hospital lab to confirm the results. That one was 37.8, so I see a hematologist/oncologist in the afternoon tomorrow to find out what is going on with that). Well, I'm glad I decided thinking of my dental health, because if either of these conditions are true, it will be even more important for me to take care of my teeth. (oh and this was a week after the dentist, so not likely a reaction from that...)
I know I won't know anything more about the WBC count until after the hematologist runs his tests, and I know there are many possibilities besides cancer. There are some totally benign ones, and maybe it was just triggered by a high blood sugar--I'll take diabetes over cancer any day, and maybe I'm just going hyperthyroid again, those symptoms are cropping up (but my TSH was normal, even though T4 was just a tad high) instead of hypo, which would be the best news, that is easily fixed with med adjustment. However, I know others who had cancer and they had to see the dentist to get all their fillings replaced prior to starting chemo to help prevent mouth/blood etc. infections. I have a few fillings (not many, I got lucky and got the good teeth gene in my family. My moms side has great teeth. The other side has horrid teeth, but my dad and brother didn't help matters much with heavy drinking, smoking and other drugs--though my dads parents had the same issues and were teetotalers. I at least have good health habits, if not always the best oral hygiene. But that is getting better, and my gums will soon be in good shape now too, that is my main concern right now, the teeth are good, the gums need a little work to get there, but will!). So, I presume they will need to be replaced IF i have cancer. (but I'm not saying I do, I don't know yet, just wanting to know about this in case I do). Most of my fillings are porcelain, as the dentist I had as an adolescent (who was also very good with phobics) only used that type of filling. How does one replace that type of filling? Is it possible? I also have a couple of metal (amalgam I presume) fillings from another dentist. (these are my only metal ones, and I do not like them as much as the others, they are way in the back, so can't be seen but are more sensitive to hot/cold (though that is largely resolved now, but at first was not so great) I guess from the conductivity?). I would not mind having these replaced with porcelain ones, not so sure I'm crazy about the mercury in my mouth, though I don't go all out on the hype of it causing tons of problems etc. and just removing all mercury fillings will cure all illness etc. (seen a bunch of those posts on some of the med groups around here, your typical TROLLS/Spammers etc. If I believed them, getting those fillings out would cure cancer and diabetes! There are always a few with their weird causes--like ironjustice and others--Hey I could just get bled, and then be fine!)
I would appreciate any opinions/answers anyone cares to offer for my questions. (and dont' worry, I am smart enough to do other research and consult MY dentist before making any decisions etc. I don't expect to be diagnosed/cured on a usenet group, just looking for info so I can ask more informed questions etc.--and I know which posts to take with a grain of salt or not). Thanks for any replies.
Emily
Steven Bornfeld - 09 Feb 2007 03:09 GMT > Hi. I just replied to a couple of posts for the first time, but I have > been lurking a bit, and have a question. I have found that the dentists [quoted text clipped - 63 lines] > > Emily I know of no specific recommendation to replace fillings prior to cancer chemotherapy. Long ago it was recommended that patients with head/neck cancer who were to receive radiation therapy were advised to have all teeth in the path of the x-rays removed, as extraction of teeth in irradiated bone can lead to disastrous and progressive death of jawbone. This may or may not be what you are thinking of; even so, both radiotherapy has improved as well as preventive care, so loss of teeth after radiotherapy is less of a worry, and advice to ROUTINELY remove teeth is no longer the case, so far as I know. It is of course a good idea to make sure your teeth are in good shape, esp. if you anticipate being laid up a while, which will make it difficult to get dental treament.
Hoping for good news, Steve
Alexander Vasserman DDS - 09 Feb 2007 10:32 GMT On Feb 8, 7:09 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote:
> > Hi. I just replied to a couple of posts for the first time, but I have > > been lurking a bit, and have a question. I have found that the dentists [quoted text clipped - 79 lines] > Hoping for good news, > Steve if on the worst case, (knock on wood) you do end up with cancer, your dentist can advise the teeth you need to worry about. I would also allow some time to let things settle down before starting chemo as immune system goes down and chemo patients that ha recent dentistry end up with infections. don't do too much as you can have problems just the worst things. Hopefully your test result could be explained by something other than cancer i wish you the best.
Steven Bornfeld - 09 Feb 2007 15:44 GMT > On Feb 8, 7:09 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> > wrote: [quoted text clipped - 82 lines] > immune system goes down and chemo patients that ha recent dentistry > end up with infections. Good point! It is likely that invasive dental treatment on patients on chemo will need to be covered by antibiotics, at the very least. Your dentist and oncologist should speak. Hope it doesn't come to this...
Steve
don't do too much as you can have problems
> just the worst things. Hopefully your test result could be explained > by something other than cancer i wish you the best. Emily - 10 Feb 2007 03:25 GMT Hi all. Thanks for the replies. I had a good oncologist visit today--white cells were down to 12. Still high, but not SKY HIGH, and we are waiting for more test results. Right now, it appears it's not cancer, and she doesn't think a bone marrow biopsy will be needed, but if other tests are funny, or my repeat CBC is weird, we'll do a biopsy. She says if I develop any infection symptoms (fever etc.) to go to the doctor ASAP. (I've been septic twice in my life, and hospitalized four times with I.V. antibiotics for infections, I definitely know that DRILL!) She wonders if it was perhaps an infection, or what not, but I'll know more in two weeks. Oh, on a side note, my cholesterol is under 100, HDL low at 37, but the triglicerides were only 45, didn't get an LDL done, but the last one was 37. So, that is good. Funny thing is, high cholesterol and heart problems run in my family. Diabetes and Cancer do not. My step-dad thinks maybe I just have Dutch Elm Disease, LOL.
As for diabetes, we don't know about that either. I have an OGTT in two weeks, and I"m sure I'll fail it. My meter readings are not so good right now. But I do have a meter, and we will know more in two weeks.
As for the fillings thing, I remember now what it was. My mom's friend with breast cancer was accepted into a drug trial. One of the requirements before starting the trial of the chemo drug was to have all your dental fillings replaced as a prophylactic measure. They wanted to make sure you got all dental work taken care of *BEFORE* starting the chemo so that you wouldn't have to have dental work done while on chemo, with the infection risk.
I definitely keep all my doctors informed of everything. I do have to make an eye appointment now--for the diabetes. I've already got a great MD who does my eyes--because of the graves disease--so I guess I'll go see her for my dilated exam a little early this year.
I have another double header of doctors in two weeks, hopefully for more good news, or at least manageable news--I'm pretty certain of the diabetes now, but we shall see what two weeks of BG testing says. (and the OGTT).
Then in March, I have my two dental cleanings, and I will be getting my gums back into shape. I do have a question as to what you fine dentists think of electric tooth brushes. My dad uses a SONIC and says it has improved his gums greatly. He says he'll get me one for my birthday (March), and I think it would probably be a good thing to help me take control of my oral health. (and full body health too).
Thanks again for the replies, there really are a great bunch of dentists on here. I know dentists are great people, and I'm glad to 'meet' some of the friendly ones out there.
Emily
Steven Bornfeld - 10 Feb 2007 03:34 GMT > Hi all. Thanks for the replies. I had a good oncologist visit > today--white cells were down to 12. Still high, but not SKY HIGH, and we [quoted text clipped - 46 lines] > > Emily Thanks for the update, and glad the news is encouraging. I'm assuming what you'd heard from your friend was that all FAULTY fillings were to be replaced. There is no prophylactic value (and significant risk) in arbitrarily replacing sound fillings. Sonic toothbrushes generally have done well in clinical tests, but how you use the brush is more important than which brush you use. The more fastidious you are, the less likely you will see additional benefit from any kind of mechanical toothbrush. Dentists are generally rather boring. You should get out more.
Steve
Newbie - 12 Feb 2007 17:41 GMT >> Thanks again for the replies, there really are a great bunch of dentists >> on here. I know dentists are great people, and I'm glad to 'meet' some >> of the friendly ones out there. >> >> Emily
> Dentists are generally rather boring. You should get out more. > >Steve How true, how true !
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