Tooth Question

nudgie
nudgie Member Posts: 1,478 Member
edited March 2014 in Colorectal Cancer #1
DX with Stage 2 Colon Cancer in 7/06. Did the FLOFOX Regime and had my surgeries. Have been NED since 2006.

I had eye surgery when I was about 5 years old due to poor muscles and than again when I was 16/17 years old. Since that time I didn't have anymore eye issues and only need one set of glasses to read, watch TV and use the computer. After finishing my chemo I noticed some issues with my sight, so I went to see the eye doctor and according to him there were some minor changes, so I needed another pair of glasses to read only. He is pretty sure it was NOT from chemo, I beg to differ because the issues did not arise until I was finished.

QUESTION: Growing up I had the normal cavities which were filled using the old mercury method. Before chemo I had 1 crown and 1 implant. After chemo I now have 2 more crowns and continue to a have issues with my teeth. Just wondering is this could be associated with the chemo or I just have bad teeth.

Comments

  • tootsie1
    tootsie1 Member Posts: 5,044 Member
    I did not have chemo, so I can't speak to that, but I know that the first time I saw my oncologist, he asked me if i had been having any trouble with my gums (I was severely anemic when my cancer was discovered). I said no at the time, but later remembered that one day last summer, a tooth got very loose and just fell out.

    Gail
  • crg123
    crg123 Member Posts: 80
    I also had FOLFOX treatments. About 6 or 7 months after I completed treatments, I developed 2 HORRIBLE cavities. One of them required a root canal and crown. Prior to chemo, I rarely got cavities. My hygienist told me that they see this fairly often. Because chemo lowers your resistance to things like infection, it also lowers your body's ability to ward off cavities. Teeth are living structures, that can become infected and die, just like any other part of the body. There is a changing opinion in the world of dentistry that says that increase vigilance is needed during chemo.
    Good luck, Cheryl
  • neon356
    neon356 Member Posts: 137 Member
    nudgie,... Chemo, and especially radiation can definitely cause bone loss, and not necessarily just at the spot where you were x-rayed. I had a lot of bone loss in my jaw, which caused a lot of tooth problems. Had I realized it sooner, it might have been covered by my medical insurance, but the problem didn't really show itself 'til about 1 1/2 years after the treatments and by then it was considered a dental problem. You know how the insurance companies can sometimes do their darndest not to approve coverage. Can,t help you with the eye question. I started wearing glasses several years before meeting the beast, and the intervals for needing new glasses didn't change too much, except maybe a little bit due to getting older..... Carl
  • jsabol
    jsabol Member Posts: 1,145 Member
    Don't know the answer, but my experience has been 12 crowns, 10 root canals prior to chemo, none in the 4 years since. I think I just have lousy teeth that have finally stabilized; hearing of others experience, I'm now thrilled that things didn't get worse! Judy
  • dash4
    dash4 Member Posts: 303 Member
    Hello,
    I am a caregiver for my husband and also a dental hygienist. Unfortunately, when most are diagnosed with cancer - few oncologists include the "mouth" in their treatment plans. As far as your teeth go the chemo does not "cause" tooth problems...BUT when you have a dry mouth for whatever reason, you lose your ability to naturally fight cavities. Also, many cancer patients have lozengers or candies to help remove a bad taste or relieve dry mouth and both will raise your risk dramatically for cavities. Anyone on chemo and or radiation should see their dentist and get on a preventive program for their oral health.

    I have had my husband on Colgate's prescription Prevident 5000 Booster (extra fluoride to brush with that strengthens your teeth) and the Biotene products (toothpaste, gum, saliva substitute and mouthwash - all with enzymes and antibacterial ability to replace what saliva naturally does for you). My husband has been on some type of chemo (except for a few months) since 11/04. So far, his preventive regiment has been successful for him. I have all my oncology patients on the same regiment.
    If you have other dental concerns--let me know.
    Mary Kay
  • msccolon
    msccolon Member Posts: 1,917 Member
    I remember reading somewhere shortly after I was diagnosed in 2004 that chemo can affect vision, and it was recommended no vision checks be performed during chemo and for a bit of time after. I know my vision changes during chemo, but pretty much returns to "normal" after a time away... I've had 3 rounds of chemo so far, with my longest time between rounds being a year and a half. I also had problems with my teeth, having to have one pulled during treatment... my sis in law who is a hygienist echoed what Mary Kay said regarding dry mouth. And GREAT news being NED since 2006!
  • usakat
    usakat Member Posts: 610 Member
    Hi Nudgie,

    Ugh...survive cancer and end up with mouth and eye problems, but isn't it great to be otherwise healthy?

    Fortunately for me, my teeth or eyes did not get any better or worse after treatment. Before I started chemo my onc suggested I get a dental check up to make sure my mouth was healthy prior to starting chemo, and my dentist suggested the same things Mary Kay did...practice good dental hygiene...I used gentle tooth brushes, oral rinse and the Biotene products. I came out unscathed.

    Perhaps your issue might be a combination of after affects of cancer and simply getting older. My eyes went bad before I got cancer and really can't get any worse, otherwise I will be taking a seeing eye dog to CP6!

    As Mick Jagger says....."what a drag it is getting old...."
  • john6341
    john6341 Member Posts: 1
    Tooth Question
    Before I started treatment, I happened to see my dentist for a routine checkup. She made impressions of my teeth for flouride trays and told me to get Gelcam and fill the trays. I am supposed to wear the trays for ten minutes a day for three years. She said people who do this have fewer dental problems down the road. I can't say I do this everyday but have been doing it several times a week for the last year.

    I also had staining on my teeth during chemo. She told me to get a sonicare toothbrush to minimize the staining.

    I discussed this wtih my oncologists and they have never heard of this.
  • FlSunshine
    FlSunshine Member Posts: 7
    Mouth and Eye Problem
    I have been a member for several years, but have not really posted until just recently. Wish I had sooner.

    I had terrible problems with my gums during chemo. To this day I have my teeth cleaned every 4 months so that my gums do not get any worse. Oncologist told me not to go to the dentist while I was having chemo done.

    As for the eyes. My eys definitely got worse during chemo. I wore glases prior to chemo for reading and have had them changed twice since I went through chemo. Now need for distances also. During chemo my eyes watered so bad and they said it was the chemo. When I finished chemo I went to eye Dr. who sent me to a specialist. My tear ducts were closed. They were able to open in the office (not real pleasant). Now two years later I am scheduled for eye surgery nex Thursday. My tear ducts are completely shut and they can not open them in the office. Drs. blame on chemo. Depending on what testing shows, may have to have more extensive surgery on nose. Something about the tube that runs from eyes to nose.

    Unfortunately since chemo I have had to have some kind of surgery once a year for something related to chemo. Thank the good Lord, it has not been cancer. Hope after this eye surgery I will be done.
  • changing2
    changing2 Member Posts: 118
    Yes lost 4 fillings a few
    Yes lost 4 fillings a few weeks ago and I'm on 4th round of chemo. MD says probably related to dry mouth!
  • msccolon
    msccolon Member Posts: 1,917 Member

    Mouth and Eye Problem
    I have been a member for several years, but have not really posted until just recently. Wish I had sooner.

    I had terrible problems with my gums during chemo. To this day I have my teeth cleaned every 4 months so that my gums do not get any worse. Oncologist told me not to go to the dentist while I was having chemo done.

    As for the eyes. My eys definitely got worse during chemo. I wore glases prior to chemo for reading and have had them changed twice since I went through chemo. Now need for distances also. During chemo my eyes watered so bad and they said it was the chemo. When I finished chemo I went to eye Dr. who sent me to a specialist. My tear ducts were closed. They were able to open in the office (not real pleasant). Now two years later I am scheduled for eye surgery nex Thursday. My tear ducts are completely shut and they can not open them in the office. Drs. blame on chemo. Depending on what testing shows, may have to have more extensive surgery on nose. Something about the tube that runs from eyes to nose.

    Unfortunately since chemo I have had to have some kind of surgery once a year for something related to chemo. Thank the good Lord, it has not been cancer. Hope after this eye surgery I will be done.

    tear duct issues
    I had the same problem, and I THINK it was from the Leucovorin (or the 5FU). I was lucky, I didn't have to have any surgery done. I had asked around about it and when I heard about the "roto-rootering" procedure, I figured I would just wait and see how it went! Mine completely cleared up at some point after chemo ended. Mine didn't completely close, just narrowed. It's always one thing or another, huh?!!!! Congrats on the no cancer and prayers for many years more! Mary
  • pamness
    pamness Member Posts: 524 Member
    Tooth and eye issues
    On the dental side - maybe I was lucky - I am a year out of treatment and three cleanings later - have had no dental issues - I also didn't have mouth sores and was able to brush and floss - about the only side effect I avoided.

    On the eyes - I don't know how old you are, but if what you need now are reading glasses and you are over 40, it might just be age. I don't know. I didn't need them until I was over 50 but my sister needed them earlier.

    One side effect I had from the 5FU was some scar tissue (very common) in my tear ducts which caused my "dry eye" to go away. I had lasix eye surgery 5 years ago and dry eye was a problem. No more, go figure.

    There are some eye side effects, sort of obscure, associated with 5FU.

    Pam
  • dixchi
    dixchi Member Posts: 431
    Vision
    I had cataracts just about ready for surgery before I got slammed
    with the ca news and chemo treatments. Saw my opthalmologist just
    recently and he says that the cataract surgery can still be done
    when it is needed which was good news. Also I read where some
    chemo can also cause cataracts. The surgery is an 8 min procedure
    and drops for two weeks afterwards.....an improvement on the old
    cataract surgery.
  • FlSunshine
    FlSunshine Member Posts: 7
    msccolon said:

    tear duct issues
    I had the same problem, and I THINK it was from the Leucovorin (or the 5FU). I was lucky, I didn't have to have any surgery done. I had asked around about it and when I heard about the "roto-rootering" procedure, I figured I would just wait and see how it went! Mine completely cleared up at some point after chemo ended. Mine didn't completely close, just narrowed. It's always one thing or another, huh?!!!! Congrats on the no cancer and prayers for many years more! Mary

    Tear Duct
    Mary, saw the onc today and he said he was not aware of chemo causing tear duct issue. However, the specialist said it was the chemo. My eyes are so bad in the morning for about 3 to 4 hours, it is hard to keep eye make up on. Not sure about the roto-rootering, but they are putting in tubes which hopefully once tear ducts are open they can remove in 6-9 months. Dr. said their was no cutting with this procedure. They just try to insert three times and if they can't get them in, they wake me up and we discuss other options. Unfortunately instead of getting better after chemo stopped, mine got worse. Glad to know I was not alone. Take care. Christie
  • msccolon
    msccolon Member Posts: 1,917 Member

    Tear Duct
    Mary, saw the onc today and he said he was not aware of chemo causing tear duct issue. However, the specialist said it was the chemo. My eyes are so bad in the morning for about 3 to 4 hours, it is hard to keep eye make up on. Not sure about the roto-rootering, but they are putting in tubes which hopefully once tear ducts are open they can remove in 6-9 months. Dr. said their was no cutting with this procedure. They just try to insert three times and if they can't get them in, they wake me up and we discuss other options. Unfortunately instead of getting better after chemo stopped, mine got worse. Glad to know I was not alone. Take care. Christie

    Tear duct issues continued!
    Christie, mine weren't better or worse any particular time of day, but boy get me in a place with air conditioning(like a restaurant!) and my eyes ran like mad! I looked like I was crying and at one of my favorite restaurants, a local Bob Evans, my waitress asked if I was ok! At times it was good for a little bit of added sympathy ;). Mary
  • FlSunshine
    FlSunshine Member Posts: 7
    msccolon said:

    Tear duct issues continued!
    Christie, mine weren't better or worse any particular time of day, but boy get me in a place with air conditioning(like a restaurant!) and my eyes ran like mad! I looked like I was crying and at one of my favorite restaurants, a local Bob Evans, my waitress asked if I was ok! At times it was good for a little bit of added sympathy ;). Mary

    Tear Duct Surgery
    Well I had my surgery Thusday and it was no fun. Still don't feel all of that well. It was only successful on my right eye. They tried three times to insert the tube and they will only try three times. The third time worked on right eye. They also tried three times on left eye and it was not successful. I look like someone took their fists and just pounded by face. Very swollen and bruised. Have to wear these "beautiful" solor shades for a month around the house, to work, even to watch t.v. Can't get light into eyes. Can't get eyes wet for one month (kind of hard when trying to wash hair) but I managed. Dr. gave me an antibiotic drop which I was allergic to so now I have to be really careful. Dr. will make a decision in 4 months as to what to do with other eye. He said I had very bad scar tissue from the chemo.

    Hope no one else has to go through this.

    Christie
  • msccolon
    msccolon Member Posts: 1,917 Member

    Tear Duct Surgery
    Well I had my surgery Thusday and it was no fun. Still don't feel all of that well. It was only successful on my right eye. They tried three times to insert the tube and they will only try three times. The third time worked on right eye. They also tried three times on left eye and it was not successful. I look like someone took their fists and just pounded by face. Very swollen and bruised. Have to wear these "beautiful" solor shades for a month around the house, to work, even to watch t.v. Can't get light into eyes. Can't get eyes wet for one month (kind of hard when trying to wash hair) but I managed. Dr. gave me an antibiotic drop which I was allergic to so now I have to be really careful. Dr. will make a decision in 4 months as to what to do with other eye. He said I had very bad scar tissue from the chemo.

    Hope no one else has to go through this.

    Christie

    Tear duct surgery
    Christie, I am so sorry to hear your surgery was so difficult! I will pray for your quick recovery and am sure you will be glad once all the healing is done. This beast just really sucks and it's hard to believe sometimes the wide range of insults we have to endure sometimes. Let us know how it goes, ok? Mary
  • FlSunshine
    FlSunshine Member Posts: 7
    msccolon said:

    Tear duct surgery
    Christie, I am so sorry to hear your surgery was so difficult! I will pray for your quick recovery and am sure you will be glad once all the healing is done. This beast just really sucks and it's hard to believe sometimes the wide range of insults we have to endure sometimes. Let us know how it goes, ok? Mary

    Tear Duct Surgery continued
    Mary,
    It is Sunday morning and had to call the on call Dr. Seems that the "tube" is now protruding out further than it should be and you can see it when looking at my eye. It is irritating the eye so I have to use extra ointment and if it gets worse or red and inflamed I need to call them back. Nothing ever seems to go easy. Thanks for keeping me in your prayers. Christie