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Detecting Oral CancerA guide for health care professionals

http://hihttp://hi--

dentfinishingschool.blogspdentfinishingschool.blogspot.com/ot.com/

http://apexiondental.com/

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Incidence and Survivalof Oral or Pharyngeal Cancer

� 30,000 new cases diagnosed yearly

� 8,000 deaths each year

� 5 year survival rate: 50%

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Early Detection Saves Lives

� 5-year survival for localized disease is 76%

� 5-year survival for metastatic disease is 19%

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Early Detection is Often Possible

� Tissue changes in the mouth that may signal cancer can often be seen and felt easily

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Warning Signs

� Leukoplakia

� Erythroplakia

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Other Possible Warning Signs

� Lump or thickening of  oral soft tissue

� Soreness or ³lump´  in throat

� Difficulty chewing or swallowing� Ear pain

� Difficulty moving jaw or tongue

� Hoarseness� Numbness of  tongue or mouth

� Swelling of  the jaw

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R isk Factors

� Tobacco use

� Alcohol use� Exposure to sunlight

� Age

� Gender � Race

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Examination Overview

� Head and neck exam should be a routine part of  dental and medical check-ups.

� Take a history of  alcohol and tobacco use.

� Follow up on suspicious signs.

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Tools and Time

� Proper lighting

� Dental mouth mirror

� Gauze squares

� Gloves

� 5 minutes

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Extraoral Examination

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Perioral and Intraoral SoftTissue Examination: Lips

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Perioral and Intraoral SoftTissue Examination: Labial Mucosa

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Perioral and Intraoral SoftTissue Examination: Labial Mucosa

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Perioral and Intraoral SoftTissue Examination: Buccal Mucosa

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Perioral and Intraoral SoftTissue Examination: Buccal Mucosa

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Perioral and Intraoral SoftTissue Examination: Gingiva

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Perioral and Intraoral SoftTissue Examination: Dorsum of the Tongue

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Perioral and Intraoral SoftTissue Examination: Left Margin of the Tongue

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Perioral and Intraoral SoftTissue Examination: R ight Margin of the Tongue

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Perioral and Intraoral SoftTissue Examination: Ventral Surfaceof the Tongue

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Perioral and Intraoral SoftTissue Examination: Floor of the Mouth

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Perioral and Intraoral SoftTissue Examination: Hard Palate

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Perioral and Intraoral SoftTissue Examination: Oropharynx

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Perioral and Intraoral SoftTissue Examination

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Oral Lesions Suspicious

for Oral Cancer

� Homogenous leukoplakia

� Leukoplakia with early squamous cell 

carcinoma

� Nodular leukoplakia with severe epithelial dysplasia

� Erythroleukoplakia with candida infection

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Homogenous Leukoplakia

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Leukoplakia with early squamous

cell carcinoma

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Nodular leukoplakia with severeepithelial dysplasia

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Erythroleukoplakia withcandida infection