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Welcome Home.Welcome to Oral Health.Lora Kordyshevskiy Megan Ernst Monica SethTodays AgendaPOWERPOINT PRESENTATION
Oral HygieneProductsThe basics
Oral CancerWhat to look forWhere to look for itHow to look for it
Oral ComplicationsDrugsNutritionOral-systemic link
Todays AgendaQ&A
WORK STATIONSOral Hygiene ProductsOral Cancer Screening
POST-TEST & EVALUATION
Oral Hygiene Products on the Market How to Care for Your Teeth
http://blog.mypicassodental.com/wp-content/uploads/2012/10/573080801.jpg4
Oral Hygiene ProductsManual Toothbrushes
Brands include: Crest, Colgate, \Arm and Hammer, WaterPik
http://www.postmedental.com/Design/2/Images/Products/Braun_Oral-B_CrossAction_Complete01_2.jpg5
Oral Hygiene ProductsPower ToothbrushesOral-B -Sonicare
Other Brands?
http://www.freysmiles.com/images/uploads/general/Oral-B-Powered-Toothbrush.jpeghttp://www.homeelectronicsequipment.com/wp-content/uploads/2009/10/Sonicare-Flexcare.jpg
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Oral Hygiene ProductsEffectiveness?
http://zounz.com/wp-content/uploads/2011/01/manual-vs-electric-brush.jpg7
Oral Hygiene ProductsFlossWaxedUnwaxedFlavored
Super FlossBridge Threaders
http://www.images.asidatabuilder.com/images/prodimgs/5600000/5605214.jpghttp://sale.dentist.net/spree/products/2192/product/oral-b-super-floss.jpg?1282698191http://www.gumbrand.com/assets/item/regular/515A_Fine_Unwaxed.jpghttp://www.healthydentalproducts.com/images/7126537.jpg8
Oral Hygiene ProductsAir FlossWaterPikStim-U-Dent
http://www.kneibdentistry.com/files/waterpik.jpghttp://www.beffadental.com/wp/wp-content/uploads/2010/02/stimudents.jpghttp://www.drcivils.com/blog/wp-content/uploads/airfloss.jpg9
Oral Hygiene ProductsMouthwashesAlcohol-Free
http://www.garrettlyonsdds.com/sites/default/files/listerine.jpghttp://www.myotcstore.com/store/i/is.aspx?path=/images/L-productimages/Listerine/Listerine_506121.jpg&lr=t&bw=25010
Oral Hygiene ProductsFluoride Rinses
http://blog.dentist.net/wp-content/uploads/2011/05/act-anticavity-fluoride-rinse.jpg11
Oral Hygiene BasicsBrush twice dailyMorning and nightRecommended to use a power toothbrushAngle toothbrush at a 45 degree angle
https://encrypted-tbn3.gstatic.com/images?q=tbn:ANd9GcQ0vW3ym3Ye_WV-05j7FAkwpxeVxy7gNFOFbTxlhCTXqp3J4Pl7http://0.tqn.com/d/dentistry/1/0/I/-/-/-/brush.jpg12
Oral Hygiene BasicsUse a fluoridated toothpaste
https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSdjrf8ZZzgnmIRdJ9OVX8qf0VbovwKUjf_GOvOVZr6q78rZO8YQQhttp://images.uptilo.com/campusdepot/4D818A05-57D7-4AC2-8A69-61662E5AAEF1.jpghttp://3.bp.blogspot.com/_KITLGzDZryo/TSazQvBvHmI/AAAAAAAADOk/J5TWoeHbkh4/s1600/IMG_3904.jpg13
Oral Hygiene BasicsFloss daily
http://studiocitycosmeticdentist.com/wp-content/uploads/flossing.jpghttp://ladentalclinic.com/wp-content/uploads/2011/06/flossing-img1.jpghttp://www.gumbrand.com/assets/item/thumbnail/891R-2.jpg14
Oral ComplicationsDrug/smoking effects
Nutritional Counseling
Oral-Systemic Link
MarijuanaPeriodontal DiseaseRapid progression
Dry MouthCavity
Cancer of Head & NeckCommonly found in the floor of the mouth & tongue
Gingival HyperplasiaSquamous Cell Carcinoma- Leukoplakia16
MethamphetamineMeth MouthWorn down teethChronic bruxism Anxiety and/or withdrawalsJaw clenching
Rampant CavityDry mouthPoor dietPoor oral hygieneDissolved enamelAcidity of chemicalsStomach content
Gingival lacerationsErosive chemicals
ParageusiaCommon bad taste
http://www.mappsd.org/Meth%20Mouth%20Photo%20Gallery.htm
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CocaineSmoking WheezingHoarsenessBurns & oral lesions
Gingival Application Increase risk of cavitiesEnamel thinningOral lesions
SnortingLoss of smellNose bleedsRunny nosesIrritation & Inflammation Nasal septumSinuses Palatal Defects Difficulty swallowing, speaking, eating & drinking
http://healthwise-everythinghealth.blogspot.com/2009/11/answer-to-medical-challenge_19.html http://www.nejm.org/doi/full/10.1056/NEJMicm066935
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Tobacco75% of all oral cancer is related to tobacco use
Oral CancerLeukoplakiaSquamous cell carcinomaMucosal LesionsOccurs frequently on the sides of the tongue, floor of the mouth, lip and cheeks, but can be anywhere in the mouth
Periodontal diseaseRapid progression
CavityHigh sugar content in smokeless tobacco
http://www.google.com/imgres?um=1&hl=en&client=firefox-a&tbo=d&rls=org.mozilla:en-US:official&biw=669&bih=609&tbm=isch&tbnid=ubDg3x_y4wCknM:&imgrefurl=http://www.glogster.com/old/view%3Fnickname%3Dhank2014%26title%3Dglog-9204/&docid=-HTiP9_PysMORM&imgurl=http://im.glogster.com/media/5/33/60/99/33609967.jpg&w=250&h=178&ei=F_imUOPhAaK3iwKZr4GwBw&zoom=1&iact=hc&vpx=29&vpy=230&dur=2592&hovh=142&hovw=200&tx=117&ty=61&sig=118131939478998008613&page=3&tbnh=138&tbnw=200&start=29&ndsp=18&ved=1t:429,r:43,s:0,i:204 (picture 2)
http://www.google.com/imgres?um=1&hl=en&client=firefox-a&sa=X&tbo=d&rls=org.mozilla:en-US:official&biw=669&bih=609&tbm=isch&tbnid=ZufJTEzRevaYjM:&imgrefurl=http://umatter.us/get-the-facts/facts-about-tobacco/&docid=-_pxykw_SeiO5M&imgurl=http://umatter.us/wp-content/uploads/2010/10/tobacco1.jpg&w=700&h=343&ei=aPemUJHzHuSbjALY8IHQBw&zoom=1&iact=hc&vpx=315&vpy=298&dur=402&hovh=151&hovw=309&tx=187&ty=86&sig=118131939478998008613&page=1&tbnh=127&tbnw=260&start=0&ndsp=14&ved=1t:429,r:12,s:0,i:121 (picture 1)19
NutritionFrequency vs. AmountDo not graze
Types of FoodBanana vs. appleChocolate vs. caramel
Soft-DrinksAcid = erosionSugar content
http://www.elmtreedental.com/acid_erosion.htm20
Nutrition
http://www.sugarstacks.com/21Oral-Systemic LinkPeriodontal DiseaseHeart DiseaseStrokeDiabetes
CavityInfections (abscess)Gastrointestinal problemUlcersStomach cancer
Oral LesionsAutoimmune disordersHIV/AIDSNutritional deficienciesImmune deficiencyCancer
http://visual.ly/your-mouth-making-you-sick22
ORAL CANCER:What, Where, and How?
Oral Cancer Facts#6 killer in the world30,990 new cases diagnosed in US in 20067,430 died from oral cancer in 2006
http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/
How many of you have medical or dental insurance? Just a few. Today, I would like to talk to you about some important facts you need to know about oral cancer in order to catch it early. Since not many of you have regular physical or dental examinations, I would like to equip you with the information on what to look for, where to look for it, and how to do it at home. 24
What to look for?Five most common signs and symptoms:White patchesRed patchesA sore that would not healPain Swelling
http://www.medicinenet.com/oral_cancer/page4.htm#what_are_the_symptoms_of_oral_cancer25
White patches (leukoplakia)Most commonCannot be whipped offOccasionally become cancerous
What can cause white patches?26
Red patches (etythroplakia)Bright colorSmoothMost often become cancerous or malignant
Biting lip or cheek may cause trauma tissue. Changes to the tissue layer on the molecular level sometimes develops into cancer. 27
Mixed colorRed and white Can become cancerous more often then white lesions
Prolonged healingA sore that would not healMost sores heal within 10 to 14 daysCall a doctor if it does not heal after 2 weeks
Avoid hot and spicy foods and beveragesRinse mouth with warm salt water
http://www.nlm.nih.gov/medlineplus/ency/article/003059.htm
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PainDifficulty swallowing and/or chewingTongue painJaw painSore throatEarache
http://www.mayoclinic.com/health/mouth-cancer/DS01089/DSECTION=symptomsYou may even notice changes in your voice (it may become croaky ). Remember, if it does not go away in 2 weeks, check it put by a doctor or a dentist. Pain unfortunately often indicates the cancer has invaded the adjacent structures, making a cure unlikely. Any patient presenting with orofacial pain requires a thorough examination. 30
Swelling
http://www.kpjklang.com/article-detail.php?artid=7Lump in your mouth or even thickening of the lining of the mouth needs a special attention if it goes for more then 2 weeks. 31
Reducing the risk of mouth cancerNot smokingDrinking less alcoholAvoiding smokeless or chewing tobaccoEating a healthy diet Healthy diet should include five servings of fruits and vegetables a day. 32
Where to look for it?5 most common areas for cancer:TongueFloor of the mouthCheekSoft/hard palateLips
Squamous cell carcinoma is the most common cancer of oral cavity. 33
Where to look for it?Tongue up to 75%Sides and back
http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/Tongue is the most common area of oral cancer development. Usually it can be found on the sides (lateral boarder) and back (ventral) areas. Carcinoma of the tongue most commonly appears on the lateral border of the tongue in the area of the lingual tonsils. The left side is a more common site than the right, possibly because right-handed smokers would aim the smoke stream toward the left.25 The posterior portion of the tongue also is a common site. Carcinoma on the posterior portion of the tongue often crosses the midline and is more likely to metastasize to the lymph nodes and manifest as a bilateral neck mass. Carcinoma of the tongue can be red, white, or both. 34
Where to look for it?Floor of the mouth up to 15-20%
http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/Carcinoma of the floor of the mouth manifests as a red-white patch or ulcer. Patients may present with bilateral regional neck metastasis because the tissues along the floor of the mouth are thin.35
Where to look for it?Cheek up to 10%
http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/Carcinoma of the buccal mucosa manifests as a red-white patch that is usually asymptomatic. If carcinoma infiltrates the underlying tissues, the cheek may become hardened. The patient's ability to open his or her jaw will be limited if the masseter or temporalis muscles are affected.36
Where to look for it?Soft palate up to 10-15%Hard palate up to 5%
http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/Carcinoma of the hard and soft palate is a common finding in patients who practice reverse smoking25 (see Figure 7). In reverse smoking, most commonly practiced in Asian cultures, the smoker places the lit end of the cigarette inside the oral cavity when inhaling. On the hard palate, the lesions appear as ulcerated red-white patches and frequently extend into the alveolar ridge. Carcinoma of the soft palate appears as nonulcerated red-white patches, and may be indurated37
Where to look for it?Lips 5%
http://www.anewskin.info/laserphotos.shtml
Lip cancer can be mistaken for reappearing cold sores. May start as a dry crack in the lip which does not heal. Excessive sun exposure is associated with lip cancer. 38
How to look for it?You will need:MirrorGauzeFlashlight (optional)
http://homedesignsweb.com/contemporary-bathroom-mirrors-the-perfect-assemblehttp://www.jantraindonesia.com/eng/index.php?option=com_content&view=article&id=76%3Aproduk&catid=39%3Akatb&Itemid=69&lang=enhttp://www.harborfreight.com/adjustable-beam-2aa-flashlight-3852.html
Now that you know the signs and symptoms of mouth cancer and the most common areas where it can be found, I would like to introduce you to the simple oral cancer screening that you can do at home. It will take you not more then 2-3 minutes to do, but can save your life in case you have any suspicious sores.39
How to look for it?Oral Cancer Self Check Video:
http://www.youtube.com/watch?feature=player_detailpage&v=4oZw0FTZmy4
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How to look for it?Remove any dental appliances from your mouth.Visually look and touch your mouth, including the lips and gums.Check the roof of your mouth.Check the inside of the cheeks and the back gums.Check the tongue, including the sides and underneath.Check for enlarged lymph nodes in the neck and under the jaw.41
Referenceshttp://www.mayoclinic.com/health/mouth-cancer/DS01089/DSECTION=symptomshttp://www.medicinenet.com/oral_cancer/page4.htm#what_are_the_symptoms_of_oral_cancerhttp://www.nlm.nih.gov/medlineplus/ency/article/003059.htmhttp://www.kpjklang.com/article-detail.php?artid=7http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/http://www.cancerresearchuk.org/cancer-info/cancerstats/types/oral/incidence/uk-oral-cancer-incidence-statisticshttp://www.anewskin.info/laserphotos.shtmlhttp://medicalcenter.osu.edu/patientcare/healthcare_services/mens_health/oral_cancer/Pages/index.aspxhttp://www.youtube.com/watch?feature=player_detailpage&v=4oZw0FTZmy4http://homedesignsweb.com/contemporary-bathroom-mirrors-the-perfect-assemblehttp://www.jantraindonesia.com/eng/index.php?option=com_content&view=article&id=76%3Aproduk&catid=39%3Akatb&Itemid=69&lang=enhttp://www.harborfreight.com/adjustable-beam-2aa-flashlight-3852.html
Thank you!Questions?