Forum Discussion
Romla
8 years agoMember
Are there dental impacts of hormone therapy ?
Hi all , I take Letrozole/ Femara daily and 6 monthly Prolia injections and seem to be in bother with teeth chipping/ splitting or breaking.
Is anyone else in the same boat ?Also am on a week off from Prolia to get some dental work done - a filling done.Am worried about the safety of extractions in my circumstance.Any thoughts gratefully accepted - seeing dentist in the morning and just made an appointment to see my gp afterwards.
Is anyone else in the same boat ?Also am on a week off from Prolia to get some dental work done - a filling done.Am worried about the safety of extractions in my circumstance.Any thoughts gratefully accepted - seeing dentist in the morning and just made an appointment to see my gp afterwards.
18 Replies
- AfraserMemberIt may not be related to hormonal treatment, slow infections can be caused by microscopic cracks (not detectable through the standard dental X-ray) or through an equally hard to detect slow deterioration of an old filling. Three dental X-rays failed to find a crack until my persistent periodontist went for a cross section X-ray (priced to match!) and then it was visible, infected and unrepairable. Choice between extracting and implant now or wait till it hurts (and the infection has spread) and do it all then! The worry that there might be a problem started before my hormonal therapy, and the slow development seems indicative that the therapy didn't have much effect. Other than that, 5 years of hormonal therapy and nothing else affecting teeth. I do check very regularly though.
- Brenda5MemberI had a tooth out yesterday. On Christmas day my jaw near my ear swelled up but it had gone down the next day. I mentioned it to my GP who just shrugged his shoulders and said if it swells up again to tell him.
On Friday I suddenly got a massive neuralgic pain on the left side of my face. I figured it might be a tooth ache, but which tooth? They all looked fine to me and they did to my dentist too and we were both baffled until he took an xray. On my molar, one one of the roots had an abscess. It had a deep filling on the tooth but it had been there for 30 yrs and there was nothing wrong with it. The tooth was just suddenly dying. I hope no more decide to go the same way as i have another 3 to 8 years on this hormone therapy. - RomlaMemberGreat news @Wendy55 will try and relocate it so others can see it.It all helps.
- wendy55Member@romla, Hi, I was not sure where to put this, its regarding the south australian governments medical heating and cooling concession, I rang them this morning as I had not received my letter advising the money had been put in my bank account - just a cost cutting measure, the $54 is put into my account every three months, I know that it is not a lot considering the power prices here in south australia, but every little helps, especially as I do suffer with the heat and the xeloda oral chemo that I am on, our airconditioners are running almost 24/7 when the temp goes over 30 as I cannot tolerate the heat at all, so if anyone from sa sees this just go to the concessions sa website -heating and cooling, and download the paperwork for your gp.
- jennyssMemberThis is all very interesting (and no fun, like a lot of other things). I must have missed any warnings about dental work, and problems linked to chemo. Five months after chemo and two months into anastrozole and alendronate osteoporosis tablets, my teeth have gone all super sensitive. I'll have to be very careful and avoid eating almonds or toffee.
- RomlaMemberHi @Brenda5 apart from avoiding hard things like the delicious Vegemite Bagel Bites I am getting a mouth guard as I think I might have been grinding my teeth at night for the same reasons.
- Brenda5MemberI did crack a tooth from gritting my teeth with anxiety and depression. My dentist repaired it and made sure that particular tooth is filed down now so I cannot grind it. The rest of my teeth are still hanging in there although on and off my root canal tooth aches but it comes good. I get tongue ulcers on and off which I never had before.
- RomlaMemberFirstly the good news I have broken the crown on a dental implant - no need for extraction.Yes agree all should have dental review before treatment - I only knew because of a kerfuffle years ago when I was briefly on bisphosphonates and needed an extraction.I think we are drowned with paperwork during treatment when most of us are numb and hence maybe do not read all we should.Interestingly I know 2 elderly ladies on Prolia with their own teeth who have not been told to advise their dentist about their Prolia injections nor are aware of the risks of Osteonecrosis of the Jaw with extractions , root canals or implants.
- wendy55MemberVery good advice, I know a friend with metastatic breast cancer who went through a root canal procedure and was in constant pain before and after the procedure, she was sent to various specialists and in a conversation with her I explained the side effects of Xgeva and the effect on our teeth, and was so surprised that no one had told her, and no dentist she visited asked the question about what drugs she was on!!! so she had a root canal for nothing because as soon as she stopped the xgeva the pain pain subsided and then disappeared.
Yes it should be standard procedure but sometimes you are just given the drug and not everyone reads all the side effects, but I was very upset to think my friend had gone through all of this simply because her dentists werent up with what xgeva can do, of course it doesnt affect everyone but it is a possibility that jaw necrosis can occur, I was fortunate that this was all explained to me and the fact my dentist is very much aware of all the things that xgeva can do, having said that its doing an amazing job on my bone mets and I have gone from having osteoporosis to only having osteopenia!!
Yes I agree, everyone starting the cancer road should have all the information, such a little thing about having a dental check up but could save a lot of grief in the future, - I had ac and taxol chemo in 2016 and now on Letrozole, and I wish I had been told to have a dental check up before starting all this. I felt like my teeth became very delicate during chemo, and during and after chemo 2 of them broke, and I feel they are not as strong as they once were. Have just been to the dentist this week to have a filling replaced, and was told I will need 2 of them capped some time within the next year. I think it should be standard advice to have a dental check and clean before starting cancer treatment.