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

2. 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

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

4. Products on the Market How to Care for Your Teeth
Oral Hygiene
Products on the Market
How to Care for Your Teeth

5. Oral Hygiene Products Manual Toothbrushes
Brands include: Crest, Colgate, \
Arm and Hammer, WaterPik

6. Oral Hygiene Products Power Toothbrushes Oral-B -Sonicare
Other Brands?

7. Oral Hygiene Products Effectiveness?

8. Oral Hygiene Products Floss Super Floss Bridge Threaders Waxed Unwaxed
Flavored
Super Floss
Bridge Threaders

9. Oral Hygiene Products Air Floss WaterPik Stim-U-Dent

10. Oral Hygiene Products Mouthwashes Alcohol-Free

11. Oral Hygiene Products Fluoride Rinses

12. Oral Hygiene Basics Brush twice daily Morning and night
Recommended to use a power toothbrush
Angle toothbrush at a 45 degree angle

13. Oral Hygiene Basics Use a fluoridated toothpaste

14. Oral Hygiene Basics Floss daily

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

16. 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

17. 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

18. 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

19. 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
(picture 2)
(picture 1)

20. Nutrition Frequency vs. Amount Types of Food Soft-Drinks Do not graze
Banana vs. apple
Chocolate vs. caramel
Soft-Drinks
Acid = erosion
Sugar content

21. Nutrition

22. 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

23. ORAL CANCER: What, Where, and How?

24. 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.

25. What to look for? Five most common signs and symptoms: White patches
Red patches
A sore that would not heal
Pain
Swelling

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

27. 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.

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

29. 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 weeks
Avoid hot and spicy foods and beverages
Rinse mouth with warm salt water

30. 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.

31. 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.

32. 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.

33. 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.

34. 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.

35. 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.

36. 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%

37. 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

38. 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.

39. 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.

40. Oral Cancer Self Check Video:
How to look for it?
Oral Cancer Self Check Video:

41. 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.

42. References

43. Thank you!
Questions?