Oral health professionals promote ‘value of having a dentist on the cancer care team’

Source: www.healio.com Author: Jennifer Byrne When planning their next steps after a cancer diagnosis, most patients don’t put a trip to the dentist at the top of their to-do list. “When patients are diagnosed with cancer, they just want to put out the fire; they want to address the cancer,” Dalal Alhajji, DMD, MSD, clinical instructor of oral and maxillofacial pathology, radiology and medicine at NYU College of Dentistry, said in an interview with Healio. “That’s when I say, ‘the reason you need to see a dentist is, we want to put out another potential fire — one you might not know about yet.” Alhajji and her colleagues at NYU College of Dentistry are part of a small but growing movement among oral health professionals seeking to close the gap between medical and dental care for patients with cancer. They see dentists as a vital component of any multidisciplinary oncology care team, offering infection treatment, protection of teeth during head and neck radiation treatments, and quality-of-life care for issues such as dry mouth and mouth sores. “I’ve been lucky — the oncologists I work with have been great about referring patients to me because they see the impact it has,” Alhajji said. “They see the value of having a dentist on the cancer care team.” Addressing preventable issues There are several reasons for a patient with cancer to see a dentist prior to initiating cancer treatment, but patients with head and neck cancers and those slated to undergo bone marrow [...]

Woman has tongue remade after devastating diagnosis

Author: The Bharat Express News Source: www.thebharatexpressnews.com A woman who was told her mouth ulcers were caused by growing wisdom teeth and a hectic lifestyle has had part of her tongue removed and remade using muscle from her leg. Charlotte Webster-Salter, 27, began suffering from recurring ulcers in 2018, but attributed it to long shifts as a flight attendant and felt “run down.” After several visits to the dentist and GP, Charlotte was finally referred to a specialist in the Ear, Nose and Throat Unit at St Richards Hospital, Chichester, in February 2021, for a biopsy after her tongue developed painful, white patches. Test results revealed Charlotte had oral cancer after a tumor was diagnosed on her tongue. Weeks later, she underwent nine-hour surgery at Queen Alexandra Hospital, Portsmouth, during which part of her tongue was removed and replaced with muscle from her leg. Having no idea if she would be able to talk or eat normally again, Charlotte spent the next two weeks having a tracheostomy — an opening in the neck with a tube inserted to help you breathe. Despite the grueling surgery, Charlotte amazed doctors with her speedy recovery, and was overjoyed to find that the cancer hadn’t spread further. She now hopes to help raise awareness about signs and symptoms of the disease. Charlotte, a student midwife, from Petersfield, East Hampshire, said: “My tongue is now a two-tone color – it looks like a drumstick lollipop. “There is even a freckle on my tongue of my [...]

2022-08-15T11:01:10-07:00August, 2022|Oral Cancer News|

Non-Irritating Foods to Eat When You Have Mouth Sores

Author: Suzanne Dixon, MPH, RD Source: www.verywellhealth.com What You Can Do About Oral Mucositis The loss of appetite is common when undergoing cancer treatment, particularly if you get a common side effect called oral mucositis which causes mouth sores. To ensure proper nutrition to help you heal, you need to find non-irritating foods that you can eat even if you have mouth sores. This article explains why mouth sores occur in people undergoing cancer treatment. It also lists the types of food you can and cannot eat—as well as the way to eat—to better cope with treatment-induced oral mucositis. How Cancer Treatment Causes Mouth Sores Over 40% of people undergoing certain cancer treatments will develop oral mucositis. It is most commonly associated with chemotherapy but can also occur with radiation therapy to the head or neck. Oral mucositis is an especially common occurrence when exposed to the chemotherapy drugs 5-fluorouracil (5-FU) or Evomela (melphalan). Other chemotherapy drugs can do the same. Treatment-induced oral mucositis is the result of the following processes: Whenever cells are damaged by chemotherapy or radiation, they release unstable atoms called free radicals. This, in turn, triggers the release of inflammatory chemicals called cytokines and metalloproteinase that break down a structural protein called collagen, causing tissues to thin and form ulcers. When this occurs in the mouth, natural bacteria quickly colonize the sores, causing infection, inflammation, and pain. The sores can often be extremely painful, making it difficult to eat, talk, and swallow. The sores may even [...]

2022-08-12T06:28:46-07:00August, 2022|Oral Cancer News|

The case for having dentists on your cancer care team

Author: New York University Source:www.medicalexpress.com Cancer treatment often takes a team of health professionals—oncologists, nurses, surgeons, radiologists, pathologists, and social workers—to coordinate and provide comprehensive support for patients. At NYU, dentists are increasingly being considered an important part of the cancer care team. When faced with a cancer diagnosis, many patients push other health care to the side to focus on addressing the disease. But people with cancer can experience unique issues related to their oral health. For instance, radiation to the head and neck can damage the salivary glands, hurting their ability to produce saliva, which can lead to tooth decay or cavities. Radiation and chemotherapy can also cause painful mouth sores. Patients with cancer that has spread to their bones, or who are undergoing treatment that can weaken their bones, may be prescribed high doses of antiresorptive medications such as bisphosphonates. These medications can cause a rare condition called osteonecrosis of the jaw, in which the jawbone is exposed through the gums. Other treatments—including chemotherapy and bone marrow transplants—lower the immune system, leaving patients susceptible to infection. Infections in the mouth during cancer treatment are especially dangerous, given the immune system's inability to fight back. "An abscessed tooth may mean having to stop chemotherapy to treat the infection," says Denise Trochesset, clinical professor and chair of the Department of Oral and Maxillofacial Pathology, Radiology and Medicine at NYU College of Dentistry. "Fortunately, intervening early to eliminate infection can minimize complications during the course of therapy," says Dalal Alhajji, [...]

2022-08-04T15:04:22-07:00August, 2022|Oral Cancer News|

Developing a non-invasive test, OrisDX aims to offer a ‘game changer’ for detecting oral cancer

Author: Melissa Fassbender Source: www.news.uchicago.edu OrisDX has developed a novel saliva-based molecular test to detect and diagnose oral cancer earlier—improving patient outcomes and saving lives. The Chicago-based startup was formed based on a decade of research in the field of liquid biopsy and cancer genomics at the University of Chicago and Johns Hopkins University by top physicians and scientists, including co-founders Nishant Agrawal, Chetan Bettegowda, Rifat Hasina and Evgeny Izumchenko. Currently, no oral cancer salivary diagnostics are endorsed by the American Dental Association. The standard for detecting head and neck cancer is a biopsy, which often occurs at late stages, and is associated with poorer patient outcomes. Using biomarker-based molecular genomic techniques to diagnose oral cavity cancers earlier, OrisDX’s technology is based on the latest science and has been proven in clinical studies. “This is going to be a game changer in the field for oral cancer,” said Agrawal, OrisDX CEO and section chief for otolaryngology and head and neck surgery at UChicago Medicine. As a surgeon and as a clinician, Agrawal treats patients with oral cancer every day and sees advanced-stage oral cavity cancer all too often, with most of his patients presenting with Stage 3 or 4 cancers. “It didn’t make sense why most of our patients presented to us with these advanced stages,” said Agrawal. His professional network includes other surgeons and head and neck oncologists who have helped confirm the team’s belief that its test will be valuable to providers and patients alike. Improving outcomes OrisDX’s [...]

2022-08-04T14:54:34-07:00August, 2022|Oral Cancer News|

Sorry, but vaping is wreaking havoc on your oral health

Source: www.bodyandsoul.com.au Author: Jaymie Hooper To mark the start of Dental Health Week, oral medicine specialist Dr Sue Ching Yeoh explains the hidden dangers of vaping – and why it's time to quit. No matter which way you slice it, vaping is just not very good for you. Not only has it been shown to cause an onset of seizures, it’s also been linked to numerous deaths, and vaping liquids containing nicotine are so troubling they were recently banned in Australia. The bad press doesn’t end there, either. While we usually associate tooth decay and gum disease with cigarettes, vaping can also take a significant toll on your oral health. According to Dr Sue Ching Yeoh, an oral medicine specialist and spokesperson for the Australian Dental Association, vaping also changes the composition and balance of your oral flora (bacteria and fungal organisms that live in your mouth), which leads to an increased risk of oral fungal infections. “The most common oral side effects from vaping include dry mouth, burning, irritation, bad taste, bad breath, pain, oral mucosal lesions (lesions that affect the soft lining of the mouth), black tongue and burns,” Dr Yeoh explains. These side effects are a result of the chemicals used in vaping liquids, which are usually created by heating glycerol, glycol and nicotine to extremely high temperatures under intense pressure. “This process produces extremely toxic chemicals such as formaldehyde and acetaldehyde, which are known carcinogens," Dr Yeoh adds. “As the mouth is the first site in [...]

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