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Dental work while taking Avastin?

vtspa6
Posts: 172
Joined: Aug 2015

My poor husband really needs at least a few teeth pulled for starters.  His Onc. asks if he can hold out, says he will need to stop taking Avastin for 4 weeks and really does not want him to.  Has anyone else had to have dental work done while on this drug?  Is there any special treatment the Dentist could do so he could stay on this drug while getting his teeth pulled?  Any answers would be appreciative, Thanks!

traci43's picture
traci43
Posts: 775
Joined: Jul 2007

I've not had dental work while on chemo, but like many I had a port put in.  The scar from the incision did not heal while on FOLOX + Avastin but healed up quickly after I finished my 12 rounds.  Avastin stops blood vessels from forming and I think that is in part why things don't heal well. Even if the point of chemo is tumor reduction before surgery, they will stop the Avastin early.  I don't know that I would try to work around the Avastin, he can still get the other chemo drugs like  5-FU, Xeloda, Irinotecan, Oxyliplatin, etc.  Good luck, Traci

vtspa6
Posts: 172
Joined: Aug 2015

Thanks for the reply.  He is going to set up for a console w/dentist.  I am hoping that there are new procedures that the dentist can do to help heal the wound when the teeth are removed.  His onc. just does not want him to stop this drug at all.  There are a few spots that have grown (not by much tho) since he started chemo a year and a half ago.  I am guessing onc. fears that this will mess up his treatments and cancer will start to spread. 

sflgirl
Posts: 220
Joined: Jan 2015

I didn't even have my teeth cleaned while on Avastin, my gums wouldn't stop bleeding. Nothing in you body heals as Traci said.  Teeth versus tumors?  Tumors win that one.  Just my opinion but please be careful about stopping chemo.

Best,

Andrea

vtspa6
Posts: 172
Joined: Aug 2015

His teeth are getting really bad.  A few were infected and some are loose.  He is having trouble eating and is in pain at times.  Believe me, I am worried sick about him stopping this drug.  I am praying that the oral surgeon has a procedure that can be done without a huge wound?  Lets hope so.

sflgirl
Posts: 220
Joined: Jan 2015

My very best wishes that he can find some relief. Please let us know what happens so we can support you the best we can.

Andrea

Bellen
Posts: 281
Joined: Aug 2016

My chemo is avastin + folfiri.  After the 6th chemo, I started having nose bleeds and a lot of scabbing in my nasal passages.  Bought secaris, which is a nasal moisturizer gel - has helped.  It has continued, although the bleeding has never been at point of not stopping.  As well, some bloody phlegm in the a.m. - told nose bleed draining into throat.  Sometimes I can just be sitting and blood will drain down from my nose.  Told this is due to the avastin.  I'm sorry, not sure about dental work while on avastin.  

Nathanv
Posts: 1
Joined: Jun 2021

I just needed it. Thanks for sharing.

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