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Hep C Discussion Forum -> On Treatment -> Don't forget your teeth!
Post Info TOPIC: Don't forget your teeth!
Phil G


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RE: Don't forget your teeth!
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Just had my checkup, scheduled after this thread was started. Thanks! She said everything looked fine, no issues other than the stuff we already knew about. Makeup the cleaning I missed during tx tommorrow. The molar that started bothering me during tx is missing part of a filling and has some small cracks. Fix that next week, trying to avoid the root canal and crown.

Now I remember. Normal wasn't always that great, either.



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Geno 1A, VL 1.9 mm, SOT 12/2/11 - Pegintron/Ribavirin/Victrelis, UND since wk 8, EOT 6/15/12 (28 wks), SVR 11/30/12
EarnestlySeeking


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Mallani,

thank you so much for bringing this up!  I just made an appointment with the dentist.  About 3 weeks ago, my teeth felt the way they did when I was 13 and got my braces tightened.  Hopefully it's nothing at all but if there is something going on, I'd rather know way early!

 

Paul



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LanaiSurferGirl


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oh great!  I didn't know this.  I live in southern California where the water system isn't the best and flouride is low in water.  I already brush 3x per day, floss at least 2x per day, use ACT anti-cavity mouthwash, and get the flouride varnish Dave was referring to.  Hopefully my teeth do well.  I saw the dentist in May (my 6 month mark for treatment) and all was well but I will be paying more attention to detail now.



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geno 1a, mother & brother also hep c +...mom got a blood transfusion and passed it along.  Started tx with incivik 11/23/11 and brother started 2/8/2012.  Both of us und. at 4,8,12 and me at 24.  I am going 36 wks and brother is going 48 weeks.
Scout


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Not to try and sway anyone from any particular product but my dentist suggested brushing and rinsing with baking soda. His theory is that our mouths ph is unbalanced and over the counter products affect that balance even further. Since I've started using this stuff(about 2 weeks into tx) my mouth has felt tons better. And I'm saving $



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Geno 1a, Viral load at 2 4, 8, 12 and 16  weeks, UND, Triple therapy Incevek done,   Peg & Riba Done, UND and making plans for the future!!
hrsetrdr


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Dave, thanks for the Biotene suggestion, I bought the mouth rinse and tooth paste while @Kaiser for labs. The Biotene products are soothing and just feel natural. I'll be staying with these products even post tx, going back to alcohol based mouthwash and the overly sweet super market tooth paste just seems so wrong.



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"hrsetrdr"=Tim

Treatment halted on Aug.8,2012 due to vision problem.  6 month post tx labs

Aug.2013 SVR

Be strong when you are weak, brave when you are scared, and humble when you are victorious.
- Unknown

 

 
Sunrise747


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Within just a very few weeks of starting treatment I noticed a significant reeceeding of my gums.  I have three caps that are not enameled below the gum line.  Before treatment they just like the other teeth.  Now they look like teeth but with a dark space where they meet the now-lowered gums. 



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Geno 1B Relapser 2001. Started Incivek 12-16-11. 57 yr old male.  Last biopsy 2000 -stage 3 fibrosis. UND Wk4, 12, 18, 26.  Did 34 weeks.  Still UND at 12-wks post.
krowdog


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Dave has a good point about the dry mouth and Ph.  I talked to my dentist quite a bit about my TX, and its effects on oral health.  He told me the dry mouth is really hard on the teeth and gums, since the saliva is also antiseptic, and kills many of the harmful bacteria in our mouth and teeth.  He suggested 3 things:

1:  Drink lots of water, we hydrate from the inside out (yeah, yeah, I know... ya' heard it a million times before ;)

2:  Use the Biotene hydrating mouth wash/gel.

3:  He wrote a prescription for an extra high flouride toothpaste called "SF 5000 Plus)

Fortunately I lost no teeth, but I did have to replace a crown  at the end of TX.

Brad

 



-- Edited by krowdog on Tuesday 10th of July 2012 07:37:03 AM

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(Geno 1a, Incivek Triple Tx, 6 month post TX - 9/20/2012 = SVR!!!)
Kellyw


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THANK YOU! I have had some gum pain, very tender. I will certainly get to my dentist.

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Kelly 2b dx 8/11. Tx begun 12/30/11. Apparently had it for decades.
Phil G


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I already have peridontal (gum) disease, which fortunately, forced me to get my dental hygene act together several years back. I canceled one cleaning during tx due due to the low platelets and neutrophiles, and have been nursing a cracked molar for the last couple of months. Yes, its time now to return to the dentist. Thank you for the reminder. 



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Geno 1A, VL 1.9 mm, SOT 12/2/11 - Pegintron/Ribavirin/Victrelis, UND since wk 8, EOT 6/15/12 (28 wks), SVR 11/30/12
Shep


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Oh dear--I am having some gum issues and was thinking of calling the dentist. Now I know I will make that call--Thanks for the info.

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Diagnosed 1996 genotype 1b VL alot tx starting 12/23/11 Victrelis UND week 8!!! 28 weeks of tx

Completed tx 7/6/12--still UND!!!!
davesf


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Use a dry mouth gel such as Biotene at night.  Our meds cause dry mouth.  Without the usual saliva balance and proper ph the caries (cavities) causing bacteria multiply at a much greater rate and do much more damage.

Also consider getting a fluoride varnish treatment from your dentist. Fluoride varnish treatments are indicated for patients who are at risk for caries.  Anyone who has prolonged dry mouth from medications is in this category. The fluoride ions bind with the calcium which allows your enamel to remineralize (repair) much easier.  This will compensate for the enamel you are losing.  If your insurance does not cover it, it will be $25-50 out of pocket.  Well worth the investment.



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All Done Poisoning the Dragon that Used to Poison Me

Genotype 1b  Incivek Combo
hrsetrdr


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Malcolm, thanks for the heads-up! My dental hygienist recently asked me if I had started drinking lots of coffee or dark tea, cleaning was more extensive than usual...I wonder.

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"hrsetrdr"=Tim

Treatment halted on Aug.8,2012 due to vision problem.  6 month post tx labs

Aug.2013 SVR

Be strong when you are weak, brave when you are scared, and humble when you are victorious.
- Unknown

 

 
12Step Guy


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Mallani, thank goodness your talking about cavities. After your post about being the oldest on this board, I thought you'd forgotten where you left your teeth again (LOL).



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Genotype 1a, IL 28 = CT  Interferon and riba 48 wks in 99, Daily Peg and Riba 18 months in 2007, Started Incivek, Peg, Riba 6/21/12. 4th stage cirrhosis. Last Dart will be May 23 2013.
Margo


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That's true, I was aware of that in my first treatment as well. I did develop new cavities this time only 2.5 months into treatment.

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Geno 1b, relapsed in 2009 a week before my treatment was to be over. Started triple therapy on April 28th, 2012. UND at week 4,8,12,24,3 months post tx.
news


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May be too late for me. I have two new tender spots along the gums where the enamel is gone, a crown has been undermined and now has a large "void" under it. The teeth are darker looking, food sticks to them more, and they never feel smooth any more. If I ever finish this protocol, the next step will be an extended visit with my brother in Atlanta, who is a fine dentist. Alan

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Geno 1A  Started Pegasys/Ribavirin/Incivek Nov. 20, 2011 .  Completed July 28, 2012 (36 weeks). For a treatment history, see:  https://jshare.johnshopkins.edu/xythoswfs/webview/_xy-9921874_1

SVR on January 14, 2013!!
mallani


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Interferon rots teeth! This is now well known, but back in 1998 when I had my first course of Interferon, I lost 3 significant teeth. My dentist back then was astounded how quickly caries could spread. Pre-treatment dental checks and 3 monthly followups should be part of all instructions to patients starting Rx. Attention to oral hygiene and twice daily brushing is vital.



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Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm
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