Oral Cancer Awareness

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Becky Larson, RDH

Oral Cancer Awareness

It’s April again!  Which means Oral Cancer Awareness month.  I can’t even begin to tell you how critical it is to receive regular oral cancer screenings.  Your dentist and/or dental hygienist should perform a basic screening at your six month check-ups.  We also recommend having a more in depth oral cancer screening (such as the Velscope, Oral ID, or Identafi) annually.  These more in depth screenings use florescent or ultra violet lights that can detect signs of oral cancer much earlier.  The earlier cancer is caught, the sooner treatment can begin and the better the prognosis.

Oral cancer is any abnormal growth of cells in the oral cavity (mouth).  Abnormal cell growth can be benign (no cause for concern) or malignant (can be life-threatening).  The oral cavity consists of the lips, cheek lining, salivary glands, hard and soft palates, uvula, tongue, floor of the mouth (underneath the tongue), gums, and tonsils.  The tongue and the floor of the mouth are the most common areas for oral cancer to occur.  However, the cancer can spread to other areas of the oral cavity and/or other areas of the body.

Oral cancer can manifest itself in many ways including swellings, lumps or bumps, numbness, abnormal bleeding, white patches, red patches, speckled patch, sores that do not heal, sore throat, pain when chewing/speaking/etc., changes in voice, ear pain, and dramatic weight loss.  If you are experiencing any of these symptoms please visit your dentist or primary care physician.

Risk factors for oral cancer include tobacco use, alcohol use, sun exposure, having HPV (Human papillomavirus), and a history of having oral cancer previously.  Tobacco use is the reason for most oral cancers, especially in those individuals who have used tobacco for lengthy amounts of time.  The risk increases when tobacco users become heavy alcohol drinkers.  Three out of every four oral cancers occur in people who use alcohol, tobacco, or both.  The Human papillomavirus is mainly linked to oropharyngeal cancers.  Limiting sun exposure and the use of sun screen and lip balm can help reduce the risk.  Men are twice as likely to develop oral cancer than women.  It is also important to note that more than 25% of oral cancers are found in individuals with no risk factors.

Everyone is at risk!  Make sure to visit your dentist and dental hygienist for regular oral cancer screenings.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://www.medicinenet.com/oral_cancer/article.htm

http://www.webmd.com/oral-health/guide/oral-cancer

http://www.cdc.gov/std/hpv/STDFact-HPVandOropharyngealCancer.htm

 

Keeping Your Teeth For a Lifetime

KarenK

Karen Kelley RDH

Keeping Your Teeth For a Lifetime

Our dental practice has more over 50 year olds than under 50.  As aging adults, we need to be aware of certain things that can keep us from retaining our teeth our entire lives.

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Judith Ann Jones, DDS, a spokesman on elder care for the American Dental Association and director of The Center for Clinical Research at the Boston University Goldman School of Dental Medicine spoke about 5 things that are especially important to the over 50 crowd.

Tooth Decay:  Contrary to what many people believe, adults keep getting cavities!  I’m always surprised when people are stunned to learn they have a cavity as an adult.  Areas of the teeth that have never had a cavity can decay, but  areas  where we see more problems are where an old filling is leaking and at the base of an older crown.  The best prevention is brushing well each day along the gumline.  An electric toothbrush is very helpful in accomplishing this as well as the use of fluoride.  An over the counter fluoride rinse nightly is great and in our office we have special prescription strength fluoride that is wonderful for cavity prevention as well as help with sensitivity.
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Dry Mouth:  Keeping Your Teeth For a Lifetime We see so many people with this problem.  “Saliva protects our teeth.  The calcium and phosphate present in saliva prevent demineralization of your teeth”, Jones says.  Many drugs cause dry mouth as well as some diseases and as we get older, we are on more medications thus we see this commonly in older adults.  This is a difficult one to deal with for those affected.  The best thing is to drink lots of water, use saliva substitute and try xylitol products.  Also, if you smoke, stop, it just makes your mouth drier.

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Gum Disease:  If your gums are swollen, red, or bleed easily, you have gum disease.  If left untreated, gum disease (gingivitis) will become more serious and will cause deterioration of the bone that holds the teeth, we call this periodontitis.   If this condition continues without treatment, it can cause the loss of the teeth.  The best way to prevent gum disease is to clean your teeth well each day with brushing, flossing, and use of interdental cleaners like soft picks or go betweens. And of course, seeing your friendly dental hygienist as often as recommended.  We can remove the mineralized bacteria from your teeth that you can’t remove with brushing.

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Tooth Crowding:  “As you age, your teeth shift”, according to Lee W. Graber, D.D.S., M.S, Ph.D., Past President of the American Association of Orthodontists. And “that can be problematic, not because you’ll look different, but because it can make your teeth more difficult to clean, leading to more decay.  It’s also of concern because misaligned teeth can lead to teeth erosion and damage to the supporting tissue and bone”, Graber says.   “Add to that the tendency of older adults to have periodontal disease, and you could end up losing your teeth even faster.”   If your teeth have really shifted, and you find you are having a difficult time keeping your teeth clean and food keeps getting caught in certain areas, ask our doctors about orthodontics.  We offer Invisalign to our patients and we’ve had patients in their later years choose to straighten their teeth.  I just finished with my invisalign treatment.  I had braces when I was a teenager but my teeth had shifted and I was experiencing these problems I just mentioned.  I decided to do Invisalign.  It’s easy to do and my teeth are so much straighter.   They are now in the correct alignment and my teeth and gums will be healthier.   If you choose not to do orthodontics, more frequently exams and cleanings may be necessary.

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Oral Cancer:  According to The Oral Cancer Foundation, more than 43,000 Americans will be diagnosed with oral cancers this year, and more than 8,000 will die from it.  “Oral cancer incidence definitely increases as you get older”, Jones says, and “is very often linked to smoking and heavy alcohol use.”   Jones also said, “Only about half of people who develop oral cancer survive the disease.”   If discovered early, there is an 80 percent chance of surviving for five years.  When we do your periodic exams when you come in for your cleaning, you will be checked for oral cancer.  We also offer Velscope, Identafi, or Oral ID technologies to help in finding oral cancer earlier.

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Keep brushing, flossing and smiling!  We want to help you keep your teeth healthy your entire lives!

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Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://www.huffingtonpost.com/2014/09/28/common-dental-problems-_n_5844434.html

https://aga.grandparents.com/

April is Oral Cancer Awareness Month

Sharma RDH

Sharma Mulqueen RDH

April is Oral Cancer Awareness Month

OC Awareness

Early detection is key with oral cancer. When found early, oral cancer patients can have an 80 to 90% survival rate. Unfortunately 40% of those diagnosed with oral cancer will die within five years because the majority of these cases will be discovered as a late stage malignancy.

Oral cancer is particularly dangerous, because the patient may not notice it in its early stages. It can frequently prosper without producing pain or symptoms. As a result, Oral Cancer often goes undetected until it has already metastasized to another location.

Who does oral cancer screenings?

Most oral cancer screenings are done by a Dentist or Hygienist. It is very important at all of your dental appointments you have a screening completed.

When should I have my first oral cancer screening?

More people are being diagnosed with oral cancer than ever before. But surprisingly, research shows this increase is not due to the traditional risk factors of drinking, smoking and using chewing tobacco. Rather oral cancer is now being found in a younger population of men and women because due to their exposure to the HPV (Human Papillomavirus). That is why the Center for Disease Control recommends that all patients over the age of 17 be screened annually for oral cancer.

What types of screenings are there?

A routine “recall” exam usually includes a visual search for lesions and abnormal structures in the oral cavity with palpitations on neck, throat, tongue and cheeks.

The Identafi system uses the Identafi Multi-Spectral Fluorescence and Reflectance technology to enhance visualization of mucosal abnormalities such as oral cancer or premalignant dysplasia that may not be apparent to the naked eye. Unlike other fluorescence technologies and dye systems, the Identafi is Multi-Spectral with three distinct color wavelengths, making it easier to distinguish lesion morphology and vasculature.

Identafi System

The VELscope® Vx system is an adjunctive device which means it must be used together with and as a supplement to the traditional intra and extra oral head and neck exam. Unlike other adjunctive devices used for oral examinations, the VELscope® Vx does not require any dyes or prolonged testing procedures. In fact, a VELscope® Vx exam can be performed during a routine hygiene exam in about two minutes at your dental office.

Dentists, Hygienists, Periodontists, Oral Surgeons, Primary Care Physicians and Otolaryngologists now have the technology to detect morphological and biochemical changes which may lead to oral cancer and potentially save lives, thanks to the Identafi® and VELscope® Vx systems.

Where do I go if there is any concern with my screening?

You will be referred to an Oral and Maxillofacial Surgeons where they will check for lesions and abnormal tissue structures and perform a biopsy.

Oral Surgeons are not front-line detectors, because their patients are typically referred by dentist and other medical professionals as a primary source for cancer diagnosis and treatment.

OC Happens

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Source:

http://www.identafi.net/tools

http://www.dentalez.com/products/stardental/identafi/

http://www.velscope.com/velscope-technology/overview/

Oral Cancer Detection

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Lora Cook RDH

Your Dentist can play vital role in detecting cancerous cells in the mouth at stage 0 to stage 1.

“According to the National Cancer Institute, most mouth cancers start as small flat cells that are in the lining of the mouth.” These area’s include lips, inside lining of the cheeks, roof or floor of the mouth. Also area’s of the tongue, sides of the tongue and under the tongue. The back of the throat is another area in the mouth that cancer can form. When oral cancer is caught early before it grows deeper into the tissue and progresses into the lymph nodes the outcome for the patient is good.

  • Stage 0 – Is the precancerous stage, this is where cells are identified to be abnormal. They have the potential to develop into tumor.
  • Stage 1 – Is when the primary tumor is 2 centimeters or smaller. In this early stage there are no cancer cells present in the nearby oral tissues or lymph nodes.

So what can the dentist do to catch oral cancer in the precancerous and primary stage of development? Its is called the Velscope! This is a tool used by the dentist to help detect precancerous and cancerous cells in small and early stages not easily seen by the naked eye. This type of exam is more thorough. This scope helps the doctor check for abnormalities just under the tissue surface. It can show where abnormal cells are, months and even years before they become easily visible to just the naked eye.

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http://www.leddental.com

 

Frequently asked questions:

What does the doctor look for?

The scope will direct fluorescence light to find abnormal cells. When looking through the scope healthy tissue will fluoresce, any tissue that is abnormal will appear dark. So the doctor is looking for any dark spots or areas. The dentist and your hygienist will also do a manual exam shown below feeling for lumps or bumps, and unilateral abnormalities.

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Is radiation involved when using the Velscope?

This exam is very safe, and there is no radiation involved. However the doctor will have you where some orange safety glasses to protect your eyes from the blue LED light from the scope.

How long does the exam take?

This exam takes all of one to two minutes to complete. Just long enough for the doctor to look at all the oral tissue in the mouth looking through the scope.

How often should I have this type of exam?

The doctor recommends thorough oral cancer screenings done at least once yearly.

American Cancer society recommends for people age 20 and older yearly screenings and exams for oral cancer.

 

Want to learn more? Visit us at http://www.alamedadentalaz.com

 

Sources:

http://www.livestrong.com/article/22882-early-stages-mouth-cancer/

http://www.webmd.com/oral-health/guide/oral-cancer

http://www.ddsgadget.com/ddsgadgetwp/velscop-early-detection-of-oral-cancer/

http://www.leddental.com