Dentaltown August 2021 - 54

Symptoms of oral cancer
* Pain in tongue or jaw
* White or red lesion
* A lesion that does not heal after two weeks
* Lump or thickening
* Sore throat
* Difficulty moving tongue or jaw
* Difficulty chewing or swallowing
* Change in voice
* Earache on one side
* Numbness
* Feeling like something is caught in throat
* Wartlike masses
4, 6
Oral cancer risk factors
16, 17
* Tobacco use
* Alcohol use
* Betel quid use
* Gender (males are more at risk)
* Sunlight exposure (for lip cancer)
* Increased age
* Previous cancer
* Family history of oral cancer
* Poor nutrition (diet low in fruits and vegetables)
* Human papillomavirus
* Weakened immune system
* Genetic syndromes: Fanconi anemia and
dyskeratosis congenita
* Poor oral health
* Lichen planus
* Graft-versus-host disease
Drinking very hot beverages and chronic irritation
may be risk factors but have not been proven to be.
Oral cancer screening
A happier ending starts with detecting
oral cancer early. Screening should be done
on every patient regularly.1
A study of oral
cancer patients showed that 70% who had
regular dental visits were diagnosed at the
earlier stages (1 and 2), compared with only
40% who did not attend regularly.2
The
Canadian Cancer Society notes that oral
cancer is in the " high preventability " category,
which means that at least 50% could be
prevented or there are screening programs
that can detect treatable precancerous
lesions.3
Oral health care professionals are
key to improving the prognosis of oral cancer
through early detection.
Adjunctive aids to detect oral cancer
such as staining, fluorescence, brush biopsy
and salivary testing can help with detection;
however, the visual and tactile intraoral
and extraoral examination is the bedrock
of oral cancer screening. Review the steps
in performing an intraoral and extraoral
assessment by reading the Oral Cancer
Screening pamphlet created by The Canadian
Dental Hygienists Association.4
54 AUGUST 2021 // dentaltown.com
Often, oral cancer is diagnosed at a later
stage, making the prognosis worse.5
Usually,
the patient is unaware of the cancer in its
early development, so it's up to us to detect
oral cancer early.
Symptoms and diagnosis
When Manu told Parul about the lesion,
it had already been there for a month. It
started off as a sore, then an ulcer formed,
then the pain intensified. He had some of
the symptoms of oral cancer-see box on
this page-but said to his sister, " If it was
cancer, it wouldn't hurt like this. " Parul
responded, " You know that if a lesion doesn't
heal after two weeks, it's suspicious. " Manu
went to an oral surgeon who thought it
was erosive lichen planus and gave him
prednisone. The steroid didn't work. The
lesion got bigger. The pain worsened,
involving earaches and constant jaw pain,
and it was difficult for Manu to eat and
talk. Now, he and the oral surgeon were
worried. The lesion was biopsied and the
diagnosis was devastating: Stage 2 squamous
cell carcinoma of his tongue.
http://www.dentaltown.com

Dentaltown August 2021

Table of Contents for the Digital Edition of Dentaltown August 2021

Dentaltown August 2021 - Intro
Dentaltown August 2021 - Cover1
Dentaltown August 2021 - Cover2
Dentaltown August 2021 - 1
Dentaltown August 2021 - 2
Dentaltown August 2021 - 3
Dentaltown August 2021 - 4
Dentaltown August 2021 - 5
Dentaltown August 2021 - 6
Dentaltown August 2021 - 7
Dentaltown August 2021 - 8
Dentaltown August 2021 - 9
Dentaltown August 2021 - 10
Dentaltown August 2021 - 11
Dentaltown August 2021 - 12
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Dentaltown August 2021 - 14
Dentaltown August 2021 - 15
Dentaltown August 2021 - 16
Dentaltown August 2021 - 17
Dentaltown August 2021 - 18
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Dentaltown August 2021 - 20
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Dentaltown August 2021 - Cover3
Dentaltown August 2021 - Cover4
Dentaltown August 2021 - SI_1
Dentaltown August 2021 - SI_2
Dentaltown August 2021 - SI_3
Dentaltown August 2021 - SI_4
Dentaltown August 2021 - E_1
Dentaltown August 2021 - E_2
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
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https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
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https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
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https://www.nxtbook.com/farran/dentaltownuk/2018March
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https://www.nxtbook.com/farran/dentaltownuk/2018February
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https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
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https://www.nxtbook.com/farran/dentaltown/2016December
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https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
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https://www.nxtbook.com/farran/dentaltown/2013newgrad
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https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
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