Welcome Home. Welcome to Oral Health. Lora Kordyshevskiy Megan Ernst Monica Seth

Today’s Agenda POWERPOINT PRESENTATION Oral Hygiene Oral Cancer Products The basics Oral Cancer What to look for Where to look for it How to look for it Oral Complications Drugs Nutrition Oral-systemic link

Today’s Agenda Q&A WORK STATIONS POST-TEST & EVALUATION Oral Hygiene Products Oral Cancer Screening POST-TEST & EVALUATION

Products on the Market How to Care for Your Teeth Oral Hygiene http://blog.mypicassodental.com/wp-content/uploads/2012/10/573080801.jpg Products on the Market How to Care for Your Teeth

Oral Hygiene Products Manual Toothbrushes Brands include: Crest, Colgate, \ Arm and Hammer, WaterPik http://www.postmedental.com/Design/2/Images/Products/Braun_Oral-B_CrossAction_Complete01_2.jpg

Oral Hygiene Products Power Toothbrushes Oral-B -Sonicare Other Brands? http://www.freysmiles.com/images/uploads/general/Oral-B-Powered-Toothbrush.jpeg http://www.homeelectronicsequipment.com/wp-content/uploads/2009/10/Sonicare-Flexcare.jpg

Oral Hygiene Products Effectiveness? http://zounz.com/wp-content/uploads/2011/01/manual-vs-electric-brush.jpg

Oral Hygiene Products Floss Super Floss Bridge Threaders Waxed Unwaxed Flavored Super Floss Bridge Threaders http://www.images.asidatabuilder.com/images/prodimgs/5600000/5605214.jpg http://sale.dentist.net/spree/products/2192/product/oral-b-super-floss.jpg?1282698191 http://www.gumbrand.com/assets/item/regular/515A_Fine_Unwaxed.jpg http://www.healthydentalproducts.com/images/7126537.jpg

Oral Hygiene Products Air Floss WaterPik Stim-U-Dent http://www.kneibdentistry.com/files/waterpik.jpg http://www.beffadental.com/wp/wp-content/uploads/2010/02/stimudents.jpg http://www.drcivils.com/blog/wp-content/uploads/airfloss.jpg

Oral Hygiene Products Mouthwashes Alcohol-Free http://www.garrettlyonsdds.com/sites/default/files/listerine.jpg http://www.myotcstore.com/store/i/is.aspx?path=/images/L-productimages/Listerine/Listerine_506121.jpg&lr=t&bw=250

Oral Hygiene Products Fluoride Rinses http://blog.dentist.net/wp-content/uploads/2011/05/act-anticavity-fluoride-rinse.jpg

Oral Hygiene Basics Brush twice daily Morning and night Recommended to use a power toothbrush Angle toothbrush at a 45 degree angle https://encrypted-tbn3.gstatic.com/images?q=tbn:ANd9GcQ0vW3ym3Ye_WV-05j7FAkwpxeVxy7gNFOFbTxlhCTXqp3J4Pl7 http://0.tqn.com/d/dentistry/1/0/I/-/-/-/brush.jpg

Oral Hygiene Basics Use a fluoridated toothpaste https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSdjrf8ZZzgnmIRdJ9OVX8qf0VbovwKUjf_GOvOVZr6q78rZO8YQQ http://images.uptilo.com/campusdepot/4D818A05-57D7-4AC2-8A69-61662E5AAEF1.jpg http://3.bp.blogspot.com/_KITLGzDZryo/TSazQvBvHmI/AAAAAAAADOk/J5TWoeHbkh4/s1600/IMG_3904.jpg

Oral Hygiene Basics Floss daily http://studiocitycosmeticdentist.com/wp-content/uploads/flossing.jpg http://ladentalclinic.com/wp-content/uploads/2011/06/flossing-img1.jpg http://www.gumbrand.com/assets/item/thumbnail/891R-2.jpg

Oral Complications Drug/smoking effects Nutritional Counseling Oral-Systemic Link

Marijuana Periodontal Disease Dry Mouth Cancer of Head & Neck Gingival Hyperplasia Periodontal Disease Rapid progression Dry Mouth Cavity Cancer of Head & Neck Commonly found in the floor of the mouth & tongue Squamous Cell Carcinoma- Leukoplakia

Methamphetamine “Meth Mouth” Rampant Cavity Gingival lacerations Worn down teeth Chronic bruxism Anxiety and/or withdrawals Jaw clenching Rampant Cavity Dry mouth Poor diet Poor oral hygiene Dissolved enamel Acidity of chemicals Stomach content Gingival lacerations Erosive chemicals Parageusia Common bad taste http://www.mappsd.org/Meth%20Mouth%20Photo%20Gallery.htm

Cocaine Snorting Smoking Gingival Application Wheezing Hoarseness Burns & oral lesions Gingival Application Increase risk of cavities Enamel thinning Oral lesions Snorting Loss of smell Nose bleeds Runny noses Irritation & Inflammation Nasal septum Sinuses 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

Tobacco 75% of all oral cancer is related to tobacco use Oral Cancer Leukoplakia Squamous cell carcinoma Mucosal Lesions Occurs frequently on the sides of the tongue, floor of the mouth, lip and cheeks, but can be anywhere in the mouth Periodontal disease Rapid progression Cavity High 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)

Nutrition Frequency vs. Amount Types of Food Soft-Drinks Do not graze Banana vs. apple Chocolate vs. caramel Soft-Drinks Acid = erosion Sugar content http://www.elmtreedental.com/acid_erosion.htm

Nutrition http://www.sugarstacks.com/

Oral-Systemic Link Periodontal Disease Cavity Oral Lesions Heart Disease Stroke Diabetes Cavity Infections (abscess) Gastrointestinal problem Ulcers Stomach cancer Oral Lesions Autoimmune disorders HIV/AIDS Nutritional deficiencies Immune deficiency Cancer http://visual.ly/your-mouth-making-you-sick

ORAL CANCER: What, Where, and How?

Oral Cancer Facts #6 killer in the world 30,990 new cases diagnosed in US in 2006 7,430 died from oral cancer in 2006 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. http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/

What to look for? Five most common signs and symptoms: White patches Red patches A sore that would not heal Pain Swelling http://www.medicinenet.com/oral_cancer/page4.htm#what_are_the_symptoms_of_oral_cancer

White patches (leukoplakia) Most common Cannot be whipped off Occasionally become cancerous What can cause white patches?

Red patches (etythroplakia) Bright color Smooth Most 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.

Mixed color Red and white Can become cancerous more often then white lesions

Prolonged healing A sore that would not heal Most sores heal within 10 to 14 days Call a doctor if it does not heal after 2 weeks Avoid hot and spicy foods and beverages Rinse mouth with warm salt water http://www.nlm.nih.gov/medlineplus/ency/article/003059.htm

Pain Difficulty swallowing and/or chewing Tongue pain Jaw pain Sore throat Earache You may even notice changes in your voice (it may become croaky крукі). 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. http://www.mayoclinic.com/health/mouth-cancer/DS01089/DSECTION=symptoms

Swelling http://www.kpjklang.com/article-detail.php?artid=7 Lump in your mouth or even thickening of the lining of the mouth needs a special attention if it goes for more then 2 weeks. http://www.kpjklang.com/article-detail.php?artid=7

Reducing the risk of mouth cancer Not smoking Drinking less alcohol Avoiding smokeless or chewing tobacco Eating a healthy diet Healthy diet should include five servings of fruits and vegetables a day.

Where to look for it? 5 most common areas for cancer: Tongue Floor of the mouth Cheek Soft/hard palate Lips Squamous cell carcinoma is the most common cancer of oral cavity.

Where to look for it? Tongue – up to 75% Sides and back 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. http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/

Where to look for it? Floor of the mouth – up to 15-20% 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. http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/

Where to look for it? Cheek – up to 10% 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. Cheek – up to 10% http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/

Where to look for it? Soft palate – up to 10-15% Hard palate – up to 5% 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 indurated http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/

Where to look for it? Lips – 5% 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. http://www.anewskin.info/laserphotos.shtml

How to look for it? You will need: Mirror Gauze Flashlight (optional) 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. http://homedesignsweb.com/contemporary-bathroom-mirrors-the-perfect-assemble http://www.jantraindonesia.com/eng/index.php?option=com_content&view=article&id=76%3Aproduk&catid=39%3Akatb&Itemid=69&lang=en http://www.harborfreight.com/adjustable-beam-2aa-flashlight-3852.html

Oral Cancer Self Check Video: How to look for it? Oral Cancer Self Check Video: http://www.youtube.com/watch?feature=player_detailpage&v=4oZw0FTZmy4

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.

References http://www.mayoclinic.com/health/mouth-cancer/DS01089/DSECTION=symptoms http://www.medicinenet.com/oral_cancer/page4.htm#what_are_the_symptoms_of_oral_cancer http://www.nlm.nih.gov/medlineplus/ency/article/003059.htm http://www.kpjklang.com/article-detail.php?artid=7 http://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-statistics http://www.anewskin.info/laserphotos.shtml http://medicalcenter.osu.edu/patientcare/healthcare_services/mens_health/oral_cancer/Pages/index.aspx http://www.youtube.com/watch?feature=player_detailpage&v=4oZw0FTZmy4 http://homedesignsweb.com/contemporary-bathroom-mirrors-the-perfect-assemble http://www.jantraindonesia.com/eng/index.php?option=com_content&view=article&id=76%3Aproduk&catid=39%3Akatb&Itemid=69&lang=en http://www.harborfreight.com/adjustable-beam-2aa-flashlight-3852.html

Thank you! Questions?