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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

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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?

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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

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Oral Hygiene BasicsBrush twice dailyMorning and nightRecommended to use a power toothbrushAngle toothbrush at a 45 degree angle

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Oral Hygiene BasicsUse a fluoridated toothpaste

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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

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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)

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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?