of how to do an oral self-examination, including pictures:
How to Help you With Chemotherapy Sideeffects
narcotic painkiller that looks like a
lollipop -- designed to speed relief to cancer patients.
Patients taking this medication need to see their dentist every
3 months to have
fluoride varnish placed at each recall because this product can
produce rapid dental decay. Also-oral
transmucosal fentanyl citrate. You place the Actiq in your
mouth and it slowly dissolves. It contains
ingredients: Hydrated dextrates, citric acid, dibasic sodium
phosphate, artificial berry flavor, magnesium stearate,
modified food starch, and confectioner’s sugar.
Grover Cleveland's Secret
On July 1, 1893, President Grover Cleveland noticed a rough
place on the roof of his mouth. It was diagnosed as cancer,
precipitating one of the most celebrated incidents in the
history of Presidential medicine. Ultimately, on July 1, the
President underwent a risky operation aboard his yacht. A whole
left side of Cleveland's jaw was removed as well as a small
portion of his soft palate. At his insistence, his illness and
surgery were kept secret from the public, the press, the
Cabinet, and the Vice President. A second, less risky operation
was performed aboard the yacht on July 17. He was later fitted
with a prosthesis of vulcanized rubber that he wore until his
death, June 24, 1908. The illness did not become public
knowledge until an article appeared September
22, 1917 in the Saturday Evening Post, written by William W.
Keen who assisted in the surgery.
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Wide: Saliva Could Predict Cancer Risk
Researchers Isolate 'Biomarkers' In Bodily Fluids
Breast cancer screening and the early detection
of other tumors could some day become as simple as spitting into
a cup, according to recent studies.
Researchers at the University of California-Los Angeles said
they found in an early study that genetic biomarkers in
saliva can predict oral squamous cell carcinoma -- a type of
oral cancer --- in about nine out of 10 cases. A recent
study published in Clinical Cancer Research found similar
predictive powers for head and neck cancers.
The UCLA team collected saliva and blood samples from breast
cancer patients and matched them with samples from patients
without breast cancer.
Using new techniques, they compared the samples and found that
both serum and saliva had unique genetic profiles.
Researchers said more study is needed on a larger sample of
cancer patients to refine how the fluids can be used to predict
cancer risks. They also said more study is needed to review
precancers and other cancers that are more difficult to detect,
such as ovarian and pancreatic cancers.
The biggest hurdle stems from the fact that salivary nucleic
acids, or protein markers, might be influenced by eating,
drinking, smoking, diet or oral hygiene. The goal is to
provide the optimized and standardized protocol to assure
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Management of Oral Care after Cancer Therapy
Scientists to Study Berries, Oral Cancer
University of Kentucky and Ohio State researchers
are conducting a test to see if a common fruit is useful in
slowing or preventing oral cancer. Scientists believe the
black raspberry carries two acids that can inhibit tumor growth.
The researchers will put the theory to the test this
summer in a trial at Ohio State by using a gel made from
freeze-dried black raspberries.
Obviously we'd like to see these lesions completely disappear,
but I think everyone would be happy just to see the whole
process slowing down. Ninety-nine percent or more of these
lesions will advance to cancer. Oral cancer, which causes up to
8,000 deaths nationally each year, is generally associated with
alcohol and tobacco use.
The idea for a raspberry-based medication was conceived by
doctors at Ohio State's Comprehensive Cancer Center in Columbus.
The raspberry gel was then developed by Mumper, the associate
director at UK's Center for Pharmaceutical Science & Technology.
Natural foods advocates have touted the healthful benefits of
raspberries for years. The trial at Ohio State is apparently is
one of the first efforts by mainstream medicine to develop a
medication from the fruit. The pulp of black raspberries
contains two substances -- anthocyanin and ellagic acid
-- that are thought to have anti-oxidant and
anti-inflammatory properties, as well as the ability to slow
Stoner found that when the powder was fed to test animals, it
appeared to inhibit the development of esophageal and colon
cancer as well as oral cancers.
In the trial, doctors will give the gel to 20 patients who have
precancerous oral lesions and to 10 healthy patients as a
control. The patients will apply the gel four times per day for
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Osteonecrosis - a condition in which there is pain, swelling and
bone damage around the tooth sockets in the jaws - can cause
bone necrosis which can lead to loose teeth, sharp edges of
exposed bone, bone spurs, and small parts of bone to dislodge.
Dr. Robert Mark, a maxillofacial surgeon in Florida, began to
see a pattern of this condition in patients who had been taking
Aredia® or Zometa®, both bisphosphonates. He observed the risk
of poor healing of the jaw, infection, and other problems that
have caused the maker of these two drugs, Novartis, to add
precautions to the package inserts. Aredia (pamidronate disodium)
and Zometa (zoledronic acid) are commonly used for cancer
therapy.12/04 Smart Practice News Items
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High-Fat Food and Oral Cancer
Eating foods high in saturated fats may increase the risk of
oral cancer, according to a Brazilian study, published in
October's Oral Oncology. Researchers from the University of Sao
Paulo found that people with oral cancer were more likely to
regularly eat foods high in animal fat and saturated fat,
including bacon, cheese, pork, and fried foods. Study authors
found that eating non-cooked margarine or butter decreased the
risk of oral cancer, most likely because these foods are a major
source of protective vitamin A. Experts estimate that about 35
percent of cancers can be linked to diet, along with tobacco,
alcohol intake, and sun exposure. Tobacco is the strongest risk
factor with 75% of oral cancers occurring in people who smoke or
use smokeless tobacco. 11/04
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The most common
cancers of the tongue are squamous cell cancers. The exact cause
of tongue cancer is unknown. However,
the following lifestyle factors may be related:
• Smoking cigarettes, cigars, or a pipe
• Use of chewing tobacco, snuff, or other tobacco products
• Heavy alcohol consumption
Symptoms of tongue cancer may include:
• Skin lesion, lump, or ulcer on the tongue
• Difficulty swallowing
• Mouth sores
• Numbness or difficulty moving the tongue
• Change in speech (due to inability to move the tongue over the
teeth when speaking)
Life without a tongue
Some cancers of the tongue require either a
partial or total glossectomy. Factors influencing prosthetic
prognosis of restoring the tongue include the presence or
absence of teeth and the type of procedure that is combined with
the glossectomy . Patients with partial glossectomy (usually
less than 50 percent of the tongue removed) suffer minimal
functional impairment and require no prosthetic intervention.
Removal of more than 50 percent of the tongue requires
construction of a palatal or lingual augmentation prosthesis.
Total glossectomy causes a large oral cavity,
loss of verbal communication, and pooling of saliva and liquid.
Patients with a total glossectomy require a total tongue
prosthesis. In dentulous patients, such a prosthesis can be
attached to the mandibular teeth through a lower partial
In edentulous patients, tongue prosthesis can be
retained to either a mandibular or maxillary denture. Common
problems associated with tongue prosthesis include lack of
salivary control and loss of ability to maneuver food.
Therefore, it is best to fabricate two prosthetic tongues, one
for swallowing and one for speech.
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Protect your pucker: To prevent
lip cancer, don't forget to keep 'em covered
Oral cavity cancers are generally caused by
tobacco use. But sun is the major cause of lip cancer. Surgery
to excise the cancer, followed by reconstruction of the lip, and
radiation are the primary treatment methods. As with any cancer,
if it's allowed to go ahead and spread, it can certainly be
devastating to one's health. Fortunately, if you were to pick a
type of cancer to have in the head or neck area, your
conventional lip cancers are very very treatable in the early
stages. And they are treatable without much morbidity.
Lip cancer, often discovered by dentists,
appears most often on the lower lip and most commonly affects
people over 45. But fair-skinned people and anyone exposed
to sunlight for long periods of time are at risk, the group
warns. The cancer is most prevalent in men. Lip cancer
often looks like a crusting or sore on the lip that does not go
away. If left untreated, the cancer can spread to lymph nodes
Not smoking and protecting oneself from the
sun by wearing hats that provide cover for one's face, using
sunscreen of SPF 30 or higher and lip balms with an SPF.
Limiting sun exposure is important not only in the summer, but
also in the winter."The higher you go
with the SPF, the better.
Health officials have observed a steady
increase in skin cancer cases over the past two decades. Lip