Home » Supporting Your Practice » Medicine » Medically Compromised Patients » Case Conference: How would you treat this 73-year old patient on chemotherapy? Case Resolution

Case Conference: How would you treat this 73-year old patient on chemotherapy? Case Resolution

LLDr. Linda Lee presents how the case of a 73-year old female patient who is undergoing chemotherapy was resolved.

Dr. Linda Lee DDS, MSc. Dipl. ABOP, FRCD(C), Oral Pathology/Medicine    

She is Associate Professor, Faculty of Dentistry, University of Toronto Staff Dentist, Princess Margaret Cancer Centre, University Health Network. Dr. Lee received her DDS degree in 1977 from the University of Toronto and her Certificate in Oral Pathology, Indiana University School of Dentistry Master of Science, Indiana University.

Click here to view the case presentation 

 

Watch the case resolution

 

6 comments

  1. Could you have considered using glass ionomer to restore the root decay? I find that glass ionomer seems to hold better on root surfaces than bonded resins or bonded amalgam. Their hardness and wear resistance is less in comparison but the benefit of fluoride being leached out as they slowly wear down inhibits new decay.

    • We have found that glass ionomer restorations do not stand up well in the setting of dry mouth and topical F therapy. Do not know the mechansim but in our patients who use their F as instructed on a daily basis, GI restorations tend to be suboptimal.

  2. What type of topical fluoride product are you putting in the trays?

  3. Thanks the case was very informative. One question: If there is a Rarefying Osteitis, non restorable and tooth is asymptomatic,would you still not extract because its asymptomatic to avoid ONJ?

  4. Thank you the presentation was very informative. Question: If the tooth is asymptomatic with RO and non restoraqble, would you still consider no extraction to avoid ONJ?

    • Extraction would predispose to ONJ. Endodontic therapy alone i.e without restoration would be preferable

%d bloggers like this: