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Welcome Home. Welcome to Oral Health. Lora Kordyshevskiy Megan Ernst Monica Seth. Today’s Agenda. POWERPOINT PRESENTATION Oral Hygiene Products The basics Oral Cancer What to look for Where to look for it How to look for it Oral Complications Drugs Nutrition
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Welcome Home.Welcome to Oral Health. Lora Kordyshevskiy Megan Ernst Monica Seth
Today’s Agenda • POWERPOINT PRESENTATION • Oral Hygiene • 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 • Oral Hygiene Products • Oral Cancer Screening • POST-TEST & EVALUATION
Oral Hygiene Products on the Market How to Care for Your Teeth
Oral Hygiene Products • Manual Toothbrushes • Brands include: Crest, Colgate, \ Arm and Hammer, WaterPik
Oral Hygiene Products • Power Toothbrushes • Oral-B -Sonicare • Other Brands?
Oral Hygiene Products • Effectiveness?
Oral Hygiene Products • Floss • Waxed • Unwaxed • Flavored • Super Floss • Bridge Threaders
Oral Hygiene Products • Air Floss • WaterPik • Stim-U-Dent
Oral Hygiene Products • Mouthwashes • Alcohol-Free
Oral Hygiene Products • Fluoride Rinses
Oral Hygiene Basics • Brush twice daily • Morning and night • Recommended to use a power toothbrush • Angle toothbrush at a 45 degree angle
Oral Hygiene Basics • Use a fluoridated toothpaste
Oral Hygiene Basics • Floss daily
Oral Complications • Drug/smoking effects • Nutritional Counseling • Oral-Systemic Link
Marijuana 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” • 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
Cocaine • Smoking • 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
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
Nutrition • Frequency vs. Amount • Do not graze • Types of Food • Banana vs. apple • Chocolate vs. caramel • Soft-Drinks • Acid = erosion • Sugar content
Oral-Systemic Link • Periodontal Disease • Heart Disease • Stroke • Diabetes • Cavity • Infections (abscess) • Gastrointestinal problem • Ulcers • Stomach cancer • Oral Lesions • Autoimmune disorders • HIV/AIDS • Nutritional deficiencies • Immune deficiency • Cancer
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 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
White patches (leukoplakia) Most common Cannot be whipped off Occasionally become cancerous
Red patches (etythroplakia) • Bright color • Smooth • Most often become cancerous or malignant
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
Pain • Difficulty swallowing and/or chewing • Tongue pain • Jaw pain • Sore throat • Earache http://www.mayoclinic.com/health/mouth-cancer/DS01089/DSECTION=symptoms
Swelling 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
Where to look for it? 5 most common areas for cancer: • Tongue • Floor of the mouth • Cheek • Soft/hard palate • Lips
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/
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/
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/
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/
Where to look for it? • Lips – 5% http://www.anewskin.info/laserphotos.shtml
How to look for it? You will need: • Mirror • Gauze • Flashlight (optional) 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
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?