Photodynamic therapy targets oral dysplasia, oral bacteria

Source: www.drbicuspid.com Author: Kathy Kincade, Editor in Chief Imagine being able to treat a suspicious lesion on a patient's tongue simply by applying a topical agent, waiting a few minutes, then exposing it to light from a handheld laser or light-emitting diode (LED) device. Imagine being able to treat bacterial and fungal infections in the oral cavity, even periodontal disease, using this same approach. That is the promise of photodynamic therapy (PDT), a minimally invasive technique that first came into medicine in the early 1900s and has been used to treat a plethora of medical conditions, including skin diseases, localized infections, age-related macular degeneration, and premalignant and malignant disorders. "PDT in the oral cavity would utilize a photosensitizing compound and a light source to activate the compound," explained Thomas Mang, PhD, research director in the Laser and Lightwave Research Center at the University at Buffalo School of Dental Medicine. "Traditionally, it has been used in head and neck lesions and oral lesions with a photosensitizer given intravenously. But in applications related to early oral lesions and those involving candida and oral species that may be involved with periodontal disease, we look to apply it topically." Distinct advantages Mang has been investigating PDT disinfection of oral biofilm and previously was involved with the development of PDT for treating cutaneous and other cancers while at Roswell Park Cancer Institute. He sees a bright future for PDT in dentistry, providing more selectivity and flexibility when treating patients with early oral lesions and microbial [...]

Follow doctor’s advice, have lesion removed

Source: www.cantonrep.com Author: Peter Gott, M.D. Patients' question: In 1999, my dentist saw a discoloration on the floor of my mouth. He told me to see a doctor about it. The doctor talked me into having the spot surgically removed. A while back, I remember reading in your column that, 95 percent of the time, discolorations in the mouth are nothing to worry about. Recently, I had a procedure done to see if I had oral cancer. That procedure revealed another abnormal area. I assume it is the same thing as what I had removed before but the doctors now want me to have the spot surgically removed with a laser. I am hesitant and would like your advice. I have enclosed copies of both pathology reports, the first from 1999 and the second from a biopsy taken during the screening. Dr. Gott's response: In your first pathology report, the lesion was examined under a microscope. Abnormal changes were noted. These changes were labeled as mild to moderate squamous epithelial dysplasia. Primarily, this means that the flat, platelike cells in the interior covering of your mouth were altered in size, shape and organization. It was not stated that this was cancerous, but in my opinion, these changes were probably precancerous. Thus, having the lesion removed was a smart choice. Now, to the pathology report of your new lesion. According to the report, it very clearly showed that you have oral squamous cell carcinoma in-situ. This means that you have a [...]

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