When cancer touches the delicate structures of the head and neck, it often leaves behind more than just medical scars; it can impact a person’s ability to speak, eat, and smile with confidence. Unfortunately, the journey through cancer treatment may require the surgical removal of teeth, bone, or soft tissue, creating complex challenges for rebuilding both the function and appearance of your teeth. This is where prosthodontists are a valuable asset. They step into this crucial role as skilled rebuilders, combining advanced dental science with compassionate care to help restore what cancer and its treatment have taken away.
At Ocean Breeze Implant & Esthetic Dentistry, Dr. Nicholas Goetz understands the unique needs of patients facing head and neck cancer reconstruction. As one of only 150 maxillofacial prosthodontists in the United States, Dr. Goetz brings fellowship-trained experience from UCLA and years of service with the US Army and VA Medical Hospital to help patients reclaim their quality of life through prosthetic rehabilitation for cancer patients.
Understanding the Reconstruction Challenge
According to the American Association of Cancer Research, head and neck cancer makes up about 4% of all new cancer diagnoses every year. Head and neck cancer treatment often includes the surgical removal of tumors, which may include portions of the jawbone, palate, tongue, or surrounding tissues. This surgery often creates what dentists refer to as “acquired defects”: gaps or missing structures that significantly impact a patient’s daily life. The location and size of these defects determine the specific approach needed for reconstruction.
Maxillofacial Prosthodontists work closely with oncologists, surgeons, and other medical professionals to plan reconstruction before, during, and after cancer treatment. This collaborative approach ensures patients receive comprehensive care tailored to their unique situation. The timing of prosthetic intervention can make a major difference in both the healing process and the final outcome.
Pre-Treatment Planning and Protection
The Maxillofacial prosthodontist’s role often begins even before cancer treatment starts. Pre-radiation dental care includes thorough examinations, necessary extractions, and the creation of protective devices. Custom radiation shields protect healthy tissues during treatment, while fluoride trays help prevent radiation-induced tooth decay.
During this planning phase, Maxillofacial prosthodontists also assess which teeth may need to be removed and discuss future reconstruction options with patients. This proactive approach helps minimize complications and sets the foundation for successful rehabilitation. Understanding what a prosthodontist does becomes crucial for patients preparing for this specialized dental care.
Immediate Post-Treatment Reconstruction
Following surgical treatment, Maxillofacial prosthodontists can provide immediate prosthetic solutions to help patients function better during the healing process. Temporary prosthetics may include obturators for palatal defects, which help separate the mouth from the nasal cavity, allowing for improved speech and swallowing.
These interim devices serve multiple purposes beyond basic function. They help maintain facial support, reducing the sunken appearance that can occur after surgery, and provide psychological benefits by allowing patients to return to social interactions more quickly. The Maxillofacial prosthodontist carefully monitors healing and adjusts these devices as tissues change and recover.
Advanced Reconstruction Techniques
Modern Maxillofacial prosthodontic reconstruction incorporates sophisticated technologies and techniques. CBCT scanning technology allows for precise planning of dental implant placement, even in areas where bone grafting may be necessary. All-on-X dental implants can provide stable foundations for full-arch restorations when multiple teeth are affected.
Maxillofacial prosthodontists create custom solutions for each patient’s unique needs. These may include:
- Removable prosthetics for patients where implants aren’t suitable
- Fixed prosthetics anchored to remaining teeth or implants
- Combination approaches using both removable and fixed elements
- Facial prosthetics for reconstruction of external facial features
The choice of reconstruction method depends on factors like the extent of surgical resection, the quality of remaining tissues, the patient’s overall health, and their personal preferences.
The Healing Journey and Long-Term Care
Reconstruction after head and neck cancer is rarely a one-time event. As tissues heal and change over time, prosthetic devices often require adjustments, repairs, or complete replacement. Prosthodontists provide ongoing care to ensure optimal function and comfort throughout this process.
Regular follow-up appointments allow for monitoring of the prosthetic fit, oral health maintenance, and early detection of any complications. Patients learn proper care techniques for their prosthetic devices and receive guidance on nutrition and oral hygiene adapted to their new circumstances.
Restoring Your Confidence With Ocean Breeze Implant & Esthetic Dentistry
Dealing with head and neck cancer reconstruction requires both technical knowledge and compassionate care. At Ocean Breeze Implant & Esthetic Dentistry, Dr. Goetz brings his fellowship training in maxillofacial prosthodontics and years of experience treating complex cases to help patients rebuild their smiles and confidence. Our practice combines cutting-edge technology with personalized attention to create solutions that restore both function and esthetics.
The journey through cancer treatment and reconstruction can feel overwhelming, but you don’t have to face it alone. Our team works closely with your medical providers to develop a comprehensive treatment plan tailored to your specific needs and goals. Contact Ocean Breeze Implant & Esthetic Dentistry at (561) 265-1998 or visit our contact form to learn more about how we can help you rebuild your smile and reclaim your confidence.
