Snus smokeless tobacco: Less harmful than cigarettes, but not safe.

Source: WebMD By: Daniel J. DeNoon If you use snus, do you win or lose? Snus -- alternately pronounced snoose or snooze -- is a smokeless, flavored tobacco product very different from snuff. When placed between cheek and gum, it doesn't make you spit. Even its critics admit that snus is less harmful than other forms of smokeless tobacco. And it is far less harmful than cigarette smoking. So is snus a good thing? It would be a good thing if everyone who smoked cigarettes or dipped snuff switched to snus instead. It would be a good thing if snus were a way station on the road to quitting all forms of tobacco. It would even be a good thing if kids who would have become smokers became snus users instead. But despite all of that, mounting evidence suggests snus isn't a good thing -- and may be far worse than they appear. Snus: Less Harmful, But Not Safe Cigarettes are the world's most efficient nicotine delivery device. They are also the most deadly. Many of the most dangerous byproducts of cigarettes are created during the burning process. Smokeless tobacco products obviously don't burn. But smokeless tobacco is a major cause of oral cancer, pancreatic cancer, and esophageal cancer. Much of this risk comes from cancer-causing chemicals called nitrosamines and polycyclic aromatic hydrocarbons (PAH). And snuff products actually deliver more cancer-causing nitrosamines than cigarettes do. But nitrosamine content is far lower in snus than in snuff, says Stephen S. Hecht, [...]

2010-11-22T12:16:34-07:00November, 2010|Oral Cancer News|

BCOCPP TEAM WINS CDA ORAL HEALTH PROMOTION AWARD—TEAM INCLUDES UBC ALUMNA / FACULTY MEMBER

Source: UBC Dentistry The Canadian Dental Association has presented the Oral Health Promotion Award to the BC Oral Cancer Prevention Program (BCOCPP) and to two of its founding pioneers, Dr. Miriam Rosin and UBC alumna and faculty member Dr. Michele Williams (DMD 1988). Rosin and Williams are part of a team of scientists and clinicians that has worked tirelessly to develop a program that has heightened the awareness of oral cancer, and the need for early oral cancer detection. They led a working group in creating Guidelines for the Early Detection of Oral Cancer that have been adopted as the standard in this area and have been widely circulated in BC and the rest of Canada. In addition, their team has established a variety of community outreach programs that are linked to the central BC Cancer Agency/BC Cancer Research Centre, Vancouver General Hospital and the University of British Columbia Faculty of Dentistry. There has been as special emphasis on outreach to high-risk under-served groups such as the poor, new immigrant populations and the elderly who have limited access to care and information. Through their work, Rosin and Williams have defined the pathway to reducing the incidence of oral cancer and have led the way to the initiation of research into new technologies to assist in recognizing and diagnosing oral cancer. Their impact has been broad in the dental community where they have been recognized and in the patient community where early detection using new technology and comprehensive protocols have made huge [...]

2010-11-22T11:43:32-07:00November, 2010|Oral Cancer News|

Maternal use of swedish snuff (Snus) and risk of stillbirth

Source: www.bioportfolio.com Author: Wikström, Anna-Karin Background: Swedish snuff has been discussed internationally as a safer alternative to tobacco smoking. International cigarette manufacturers are promoting new snuff products, and the use of Swedish snuff is increasing, especially among women of childbearing age. The effect of Swedish snuff on pregnancy complications is unknown. Methods: In this population-based cohort study, we estimated the risk of stillbirth in snuff users (n = 7629), light smokers (1-9 cigarettes/day; n = 41,488), and heavy smokers (>/=10 cigarettes/day; n = 17,014), using nontobacco users (n = 504,531) as reference. Results: Compared with nontobacco users, snuff users had an increased risk of stillbirth (adjusted odds ratio = 1.6 [95% confidence interval = 1.1-2.3]); the risk was higher for preterm (<37 weeks) stillbirth (2.1 [1.3-3.4]). For light smokers, the adjusted odds ratio of stillbirth was 1.4 (1.2-1.7) and the corresponding risk for heavy smokers was 2.4 (2.0-3.0). When we excluded women with preeclampsia or antenatal bleeding and infants who were small for gestational age, the smoking-related risks of stillbirth was markedly attenuated; the elevated risk for snuff users remained the same level. Conclusions: Use of Swedish snuff during pregnancy was associated with a higher risk of stillbirth. The mechanism behind this increased risk seems to differ from the underlying mechanism in smokers. Swedish snuff does not appear to be a safe alternative to cigarette smoking during pregnancy. Source: Epidemiology (Cambridge, Mass.) Authors Affiliations: a Clinical Epidemiology Unit, Department of Medicine, Karolinska Institute, Stockholm, Sweden; b Department of Women's and [...]

2010-11-21T12:54:01-07:00November, 2010|Oral Cancer News|

HPV vaccination of young women may protect men through herd immunity

Source: www.medscape.com Author: Laurie Barclay, MD High coverage of quadrivalent human papillomavirus (HPV) vaccination in young Australian women resulted in a lower frequency of genital warts, which might protect heterosexual men through herd immunity, according to the results of an analysis of national sentinel surveillance data published online November 9 in Lancet Infectious Diseases. "The natural history of cervical and HPV-associated diseases is slow," Mark H. Einstein, MD, MS, associate professor of obstetrics and gynecology and women's health, and director of clinical research for women's health and gynecologic oncology at Albert Einstein College of Medicine and Albert Einstein Cancer Center, Montefiore Medical Center, in New York City, told Medscape Medical News when asked for independent comment. "This is the first registry-based study that has already shown the declines after vaccinating a large population of vaccine-eligible adolescents and young adults. This prospectively shows what all the models have been predicting all along." The annual incidence of genital warts has been increasing for decades and is currently about 1% in young, sexually active people. Up to 90% of cases of genital warts are caused by HPV types 6 and 11, which are 2 of the 4 types targeted by the quadrivalent HPV vaccine used in Australia (Gardasil; CSL Biotherapies). "While it will probably be as effective as the quadrivalent HPV vaccine at preventing anogenital and other cancers, the bivalent HPV vaccine (Cervarix, GSK) used in the UK national program provides no protection against genital warts," lead author Basil Donovan, MD, head of [...]

2010-11-21T12:53:34-07:00November, 2010|Oral Cancer News|

Smoking patterns in cancer survivors

Source: ntr.oxfordjournals.org Author: Deborah K. Mayer & John Carlson Introduction: More than 11 million cancer survivors are at risk for new cancers, yet many are receiving inadequate guidance to reduce their risk. This study describes smoking trends among a group of cancer survivors (CaSurvivors) compared with a no cancer (NoCancer) control group. Methods: The Health Information National Trends Survey 2003, 2005, and 2007 cross-sectional surveys were used in this secondary data analysis. Descriptive statistics were produced, and logistic regressions of current smokers were performed on weighted samples using SUDAAN. The sample included 2,060 CaSurvivors; the average age was 63 years; and the majority of respondents were female (67%), White (80.6%), married, or partnered (52.5%), with at least some college education (57%). The mean time since diagnosis was 12 years; 28.7% reported fair or poor health status. Results: The overall smoking rate was 18.7% for CaSurvivors and 21.7% for the NoCancer group. Education (less than college), age (younger), marital status (widowed or divorced), and health care access (none or partial) were significant personal variables associated with a greater likelihood of being a current smoker. Controlling for these variables, there were no differences between the CaSurvivors and NoCancer groups over time. Women with cervical cancer were still more likely to be smokers (48.9%) than other CaSurvivors (p

2010-11-21T12:37:33-07:00November, 2010|Oral Cancer News|

Growth factor regenerates tooth supporting structures: Results of a large randomized clinical trial

Source: www.eurekalert.org Author: press release It is well known that oral infection progressively destroys periodontal tissues and is the leading cause of tooth loss in adults. A major goal of periodontal treatment is regeneration of the tissues lost to periodontitis. Unfortunately, most current therapies cannot predictably promote repair of tooth-supporting defects. A variety of regenerative approaches have been used clinically using bone grafts and guiding tissue membranes with limited success. In an article titled "FGF-2 Stimulates Periodontal Regeneration: Results of a Multicenter Randomized Clinical Trial," which is published in the International and American Associations for Dental Research's Journal of Dental Research, M. Kitamura, from Osaka University Graduate School of Dentistry, Japan, and a team of researchers conducted a human clinical trial to determine the safety and effectiveness of fibroblast growth factor-2 (FGF-2) for clinical application. This is the largest study to date in the field of periodontal regenerative therapy. A randomized, double-masked, placebo-controlled clinical trial was conducted in 253 adults afflicted with periodontitis. Periodontal surgery was performed, during which one of three different doses of FGF-2 was randomly administered to localized bone defects. Each dose of FGF-2 showed significant superiority over the standard of care (vehicle alone (p

2010-11-19T15:10:25-07:00November, 2010|Oral Cancer News|

FDA panel backs new use for Gardasil vaccine

Source: TherapeuticsDaily.com WASHINGTON -- A federal health panel says evidence supports expanding use of Merck's Gardasil vaccine to prevent anal cancer in young men and women. The panel of Food and Drug Administration advisers said a 4,000-patient study conducted by Merck & Co. Inc. shows the vaccine lowers the risk of anal cancer in men. They said these results can also be applied to women. Anal cancer is relatively rare, affecting about 5,000 people in the U.S. each year. Gardasil, Merck's top-selling vaccine, already is approved for prevention of cervical cancer and genital warts in girls and women aged 9 to 26. It's also approved for preventing genital warts in boys and men aged 9 to 26. The vaccine works by blocking four of the most common strains of human papilloma virus, or HPV.

2010-11-18T10:12:07-07:00November, 2010|Oral Cancer News|

Implant survival rate after oral cancer therapy: A review.

Source: HighWire, Stanford University The overall impression regarding the success of dental implants (DI) in patients having undergone oral cancer therapy remains unclear. The aim of the present review study was to assess the implant survival rate after oral cancer therapy. Databases were explored from 1986 up to and including September 2010 using the following keywords in various combinations: "cancer", "chemotherapy", "dental implant", "oral", "osseointegration", "radiotherapy", "surgery" and "treatment". The eligibility criteria were: (1) original research articles; (2) clinical studies; (3) reference list of pertinent original and review studies; (4) intervention: patients having undergone radio- and chemotherapy following oral cancer surgery; and (5) articles published only in English. Twenty-one clinical studies were included. Results from 16 studies reported that DI can osseointegrate and remain functionally stable in patients having undergone radiotherapy following oral cancer surgery; whereas three studies showed irradiation to have negative effects on the survival of DI. Two studies reported that DI can osseointegrate and remain functionally stable in patients having undergone chemotherapy. It is concluded that DI can osseointegrate and remain functionally stable in patients having undergone oral cancer treatment.

2010-11-17T17:40:03-07:00November, 2010|Oral Cancer News|

New Report: States Continue Drastic Cuts to Tobacco Prevention Programs

Source: Robert Wood Johnson Foundation This year (Fiscal Year 2011) states will collect $23.5 billion in revenue from the 1998 tobacco settlement funds and tobacco taxes. Alarmingly, though, the states will only spend two percent of that amount—$517.9 million—on programs to prevent smoking and help smokers quit. That’s the lowest amount of tobacco prevention program funding since 1999, when the states first received tobacco settlement funds, according to a report released today by a coalition of public health organizations, including the Robert Wood Johnson Foundation (RWJF). U.S. adult smoking rates have stalled at 20.6 percent after decades of decline. Echoing the recommendations of major public health organizations such as the Institute of Medicine, the President’s Cancer Panel and the Centers for Disease Control and Prevention, the report recommends that states increase funding for tobacco prevention and cessation programs, increase tobacco taxes and enact strong smoke-free laws that apply to all workplaces, restaurants and bars. In addition, the federal government should robustly fund and implement the national tobacco prevention strategy unveiled on November 10, 2010 by the U.S. Department of Health and Human Services. The report, titled “A Broken Promise to Our Children: The 1998 State Tobacco Settlement 12 Years Later,” was released by the Campaign for Tobacco-Free Kids, American Heart Association, American Cancer Society Cancer Action Network, American Lung Association and RWJF. These organizations have issued yearly reports assessing whether the states have kept their promise to use funds from the tobacco settlements—estimated to total $246 billion over the first [...]

2010-11-17T12:20:18-07:00November, 2010|Oral Cancer News|

VEGETABLES CONTAINING VITAMIN B CAN SLASH RISK OF MOUTH CANCER

Source: DentalHealth.org Women who consume high volumes of folic acid found in Vitamin B from vegetables and some fruits are less likely to suffer from mouth cancer. 87,000 nurses were followed for 30 years from 1976 by researchers from the Columbia University Medical Centre and Harvard School of Public Health. Women who drank a high volume of alcohol and had low folic acid intake were three times more likely to develop mouth cancer than those who drank high volumes of alcohol but had high volumes of folic acid in their diet. Alcohol is one of the major risk factors for mouth cancer and those who drink to excess are four times more likely to be diagnosed. This is the first time that folic acid intake has been shown to affect the risk of the disease. Alcohol leads to a reduction in folic acid metabolism by creating acetaldehyde which leads to a reduction of folic acid in the body. Chief Executive of the British Dental Health Foundation, Dr Nigel Carter, said: “Rates of mouth cancer in women have been increasing for many years as a result of changed social habits with more women smoking and drinking. This new research could offer a method to reduce this by looking at the folic acid intake and increasing fruit and vegetables containing folic acid in the diet. “In the past studies have tended to focus on males, as they are twice as likely to suffer from the disease. Whilst this study focuses on women [...]

2010-11-16T11:46:20-07:00November, 2010|Oral Cancer News|
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