H & N cancer/ dental

8 Posts | Page(s): 1 

H & N cancer/ dental

by butler on Fri Mar 16, 2018 06:17 PM

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Hi All,

If breast reconstruction is covered by insurance after cancer, why wouldn't teeth restoration after radiation also fall under medically neccessary?  So frustrating.

My toungue sucking tic that I recently developed is giving me the "hot mouth" that I remember as a pre-cursor to the toungue (BOT) diagnosis.

Anyone else?  

My dentists/endo won't extract my back molar due to the fear of osteonecrosis developing although it is heavy with a large carie.  I had extractions of two teeth that I would like to get implants/bridge but I'm not sure it's worth it.

Doing okay otherwise, just this cellular tension and neck/back pain

Best,

Sara

HBOT treatment was denied

RE: H & N cancer/ dental

by Sdurnell on Sat Mar 17, 2018 05:50 AM

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Sara,

So sorry you are having dental problems. 

HBOT is usually approved by health insurance companies in the U.S. for invasive dental procedures after radiation for H&N SCC, I believe.  It's one application that there is good evidence for, unlike many other things people want to use it for.  Can you appeal the decision?

Most dentists who know about radiation to the jaw won't do implants either, as they carry the same risks as extractions do for osteoradionecrosis since they are invasive.  But a bridge might be possible.

All the best  to you.

Susan

RE: H & N cancer/ dental

by butler on Mon Mar 19, 2018 05:07 AM

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Hi Susan,

Unfortunatly HBOT is not usually approved by insurance and yes I appealed as did my Dr.s. 

I hope you are well,

Best,

Sara

RE: H & N cancer/ dental

by ToddlerFather on Mon Mar 19, 2018 09:46 AM

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Have you tried sending them this article ?

https://medlineplus.gov/ency/article/002375.htm

The usages listed there are peer-reviewed, even though not being FDA-approved yet. So the question for your insurance is whether they are following the cold letter of the law or its spirit, since there seems to be enough scientific credibility for such usages, just not enough money to push this certification thru the FDA pipeline. 

RE: H & N cancer/ dental

by Sdurnell on Tue Mar 20, 2018 03:07 AM

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Many people on this and other sites have had HBOT approved by their insurance companies.  So sorry yours is not with the program.

Susan

RE: H & N cancer/ dental

by butler on Wed Mar 21, 2018 06:03 PM

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Tufts and Medicare only cover HBOT for wound care and radiation is only considered once diagnosed with osteonecrosis is confirmed and not treated well with total extraction and jaw replacement(during)

RE: H & N cancer/ dental

by hisprincesstoo on Wed Apr 04, 2018 03:38 AM

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I would NOT even consider an implant after treatment.  would they even do with with the damage to the jaw we have endured?

RE: H & N cancer/ dental

by Sdurnell on Wed Apr 04, 2018 05:17 AM

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I have heard of people having implants after radiation, but also of them failing.

I also would not consider an implant.  My denturist thought maybe I could have them on top to help seat the dentures more securely, but all my doctors recommended against it.

And now that my saliva is better I don't need to glue the dentures in anymore anyway.

Susan

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