If you are on EXGEVA as apart of your treatment, be careful and let your Dentist know. He may.want.to talk to.you about.Osteonecrosis.
It is disturbing so many general dentists are totally unaware of dental implications when it comes to Myeloma, therapies, medications, treatments, precautions, interactions, etc etc etc.. They have no idea what is going on in the jaw. Panoramic x-rays, x-rays of back molars, do not reveal underlying changes .
The extensive paperwork and history you provide will be filed away after someone briefly looks over it. Be your own advocate. Go for a consult first. Maintain meticulous oral hygiene.
I brush like I did proir to MM. I switch off with an electric Oral B and a regular brush. I also have a bottle of "antiseptic listerine" for rinsing if my gums bleed. Make sure it says antiseptic on the label. My last dental insurance plan had 2 free cleanings but there was a clause in the plan to charge $150.00 for those cleanings if you have health issues affecting the mouth or jaw. The insurace comapny claims dentists have to take extra time and care because MM can cause brittle teeth. Since I moved last year I haven't made an appointment under my newest insurance yet so I'm hoping they don't have the same clause in their plan.
I have a brushing flossing and rinsing with mouthwash routine. Before going to the dentist check with your oncologist and dentist to see if they have any prescription adjustments you need to make
I go to the dentist every 3 months...My dentist works with cancer patients and she will also be speaking to my support group next month..I have been very lucky with my teeth...but I do floss at night and use a mouth was that does have fluoride in it..