I am in remission for multiple myeloma. I believe I have a cavity or two and am worried about going to my regular dentist. My bones are exceedingly fragile. I have suffered 3 broken vertebrae, 2 broken ribs, and a broken toe. I have I lot of lytic lesions and some of them are very large (hand size). I worry about the amount of pressure the dentist will have to apply with the drill possibly breaking either my jaw or my cheekbone.
Hello, As per your query, you have symptoms of tooth cavity when diagnosed with multiple myeloma. Need not worry. Treatment depends upon depth of carious lesion which can be diagnosed after taking oral periapical radiograph. I would suggest you to visit oral and maxillofacial surgeon once and get it examined. Start treatment accordingly. Go for oral prophylaxis and superficial carious lesion removal which don't require much tooth structure loss. Chew on sugar-free candies and stimulate salivary flow.  Chat Doctor.  Maintain proper oral hygiene. Hope I have answered your query. Let me know if I can assist you further.