ORAL CANCER

  • What is Cancer?
  • CANCER is a group of disease which involves abnormal cell growth which carries the potential to invade other parts of the body.

  • And ORAL CANCER also known as Mouth Cancer is the growth of any cancerous tissue in the oral cavity.
  • It is a type of head and neck cancer.
  • There are different types of oral cancer but the most common is Squamous cell carcinoma.
  • Oral cancer most commonly involves the TONGUE but may also involve lips, palate, gingiva and floor of mouth.

SIGNS AND SYMPTOMS OF ORAL CANCER

  • The appearance of velvety white, red or speckled patches in the mouth.
  • Sudden development of swelling, lumps, rough spots, eroded surface or appearance of crusts on the lips, gingiva or other regions of oral cavity.

  • Prolonged hoarseness or change in voice.
  • Difficulty in chewing, swallowing, speaking, or difficulty in the movement of the jaw and tongues.

  • Unexplained bleeding from the mouth.

  • Sudden loss in weight.
  • Unexplained numbness and loss of pain or tenderness in any areas of the oral cavity.
  • Painless ulcers in the mouth which does not heal.

 

  • Pain in the ear without loss of hearing.

  • Unexplained mobility of teeth and sockets which do not show healing after extractions.

  • There may be change in the way the dentures or teeth fit together.

   If you notice one or more of these symptoms for more than two     weeks then visit a specialist for complete oral examination. Often these symptoms don’t indicate oral cancer. But it is important to get it diagnosed.

 

                     HOW DOES IT OCCURS?

  • The exact etiology is not known.
  • There is increased risk in people consuming TOBACCO of any type – cigarettes, cigars, pipes, smokeless tobacco.
  • Increased use of ALCOHOL also increases the chance of developing oral cancer.

 

  • And the risk is even higher in people consuming both tobacco and alcohol.

  • SUN EXPOSURE leads to cancer on the lips.

IMPORTANT EXAMINATION FOR DETECTION OF CANCER IS ESSENTIAL

                                TREATMENT

  • Early diagnosis of this condition will reduce the chances of pre cancerous cells to become malignant.
  • Visit your dentist as early as possible for regular screenings and identify the signs of oral cancer to get it treated before it becomes a life threatening condition.
  • The three most common treatments for oral cancer are Radiotherapy, Chemotherapy and Surgery.

 

The “All-on-4” Concept for Implant Rehabilitation of an Edentulous Jaw

When a patient loses all of their teeth, they are essentially relegated to living the life of a “dental cripple” and are compelled to see  Dr.Sachdeva’s Dental Institute, India to find resolution. The teeth are very essential to any human being and when a tooth or all teeth are lost, chewing efficiency is lost, their level of comfort declines and often they appear to age prematurely. The teeth provide more than a bright smile on someone’s face. A complete set of dentition maintains the bite and keeps all the structures in harmony. When changes occur after teeth are lost, patients begin to seek the dentist.

Edentulism can be a result of poor oral hygiene and dental disease. Sometimes patients who have received previous restorations meet a failure in their cases and their teeth are deemed restorable and hopeless. A growing number of the population possess a terminal dentition and the ability to retreat is restricted due to the poor remaining tooth structure and support, combined with limitations from the financial burden of full mouth reconstruction. How and why a person is edentulous varies. When patients come into the clinic, their oral condition is assessed and the appropriate solution is planned and presented—all encompassing the health and financial capacity of the patient.

It is well recognized that an edentulous condition has a negative impact on your life:

    • You need your teeth to eat because otherwise you will be limited to a soft, unappealing diet.
    • You need your teeth to smile, to flash a confident set of pearly whites to people.
    • You need your teeth to maintain the integrity of your facial structure, otherwise your bite will collapse and along with it, the face will sag and make you look much older.
    • You need your teeth to maintain the health of the jaw. The temporomandibular joints (TMJ) rely on the teeth. When the bite collapses, the changes that occur can be very damaging to the joints.

All-on-4” implants have become a leading choice in many teeth replacement cases.

A REVIEW ON BOTOX IN DENTISTRY

None can deny with the fact that everyone wants to look younger than one’s age. Hence one option available as BOTOX comes to the rescue to fulfill the needs in cosmetic & esthetic dentistry.

Chemically BOTOX is a toxin produced by bacterium clostridium botulinum also produced commercially for medical & cosmetic approach. There are two main commercial types: botulinum toxin type A (Botox, Dysport & Xeomin) & botulinum toxin type B (Myobloc).

Injecting Botulinum toxin type-A causes localized reduction in overactive muscle activity for some timespan by inhibiting the exocytosis of acetylcholine on cholinergic nerve endings of motor nerves preventing the vesicle where the acetylcholine is stored from binding to the membrane where the neurotransmitter can be released.

The use of Botox in Dentistry can be applied in bruxism, dental implant surgery, temporomandibular joint disorders, gummy smile, and mandibular spasm.

Botox is a safe, conservative, non surgical reversible, minimally invasive treatment modality for cosmetic needs. Training is absolutely required for dentists to administer this technique as a learning curve.

As we all know bruxism ultimately leads to periodontal trauma characterized by clenching by bracing of the mandible. Botox has shown promising results by alleviating the symptomatology of bruxism with botulinum toxin type A injections into temporalis & masseter muscles.

Post implant surgery overloading of muscles of mastication can impede osseointegration of implants. Hence the muscular relaxation is achieved with injecting botulinum toxin type A to the masticatory muscles therapeutically.

The appearance of excessive gingival tissue in the maxilla upon smiling is both an aesthetic issue as well as oral hygiene problem which require complex procedures as a cure. In such cases it is applied in small, carefully titrated doses proportionately weakening the contraction of upper lips particularly levator labii superiosis.

Botox is an emerging, latest, attractive treatment option as compared to other surgical alternatives. However there are still many dental conditions which require FDA approval to be treated by botulinum toxin. The use of BOTOX will surely progress the dentistry profession to one step ahead.