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Posts for: October, 2013

By Donald M Jackson, DDS, PA
October 30, 2013
Category: Oral Health
Tags: oral cancer  
EarlyDetectionisCriticaltoSurvivingOralCancer

While oral cancer makes up only a small portion of annual cancer cases, they are nonetheless a critical situation for those patients who develop them. Because cancer lesions in the mouth are easily mistaken for other kinds of sores or overlooked as they develop, they're often not detected until the later stages of the disease. The lack of early detection is a major factor in a dismal overall survival rate for oral cancer of 58%, five years after treatment. On the other hand, oral cancer diagnosed in earlier stages of development boast a much improved survival rate — up to 80% after five years.

The most important factor for early detection is your own observations while performing oral hygiene. A lesion can occur anywhere in the oral cavity (the mouth) or the pharynx (back of the mouth and throat). Of particular concern are abnormalities that appear on the lips and on or around the tongue. These abnormalities may first look like cold or canker sores, ulcers or white patches. If they don't begin to diminish in a few days, then you should certainly contact our office for an oral cancer exam (this exam is also part of your routine office visit).

While there are a number of diagnostic screening tests, the best method for achieving an accurate diagnosis is a biopsy. We would remove a small sample of the abnormal tissue (if the area is large enough to begin with) and have it analyzed microscopically. If the abnormality is small, the complete abnormality would be removed so that if it was determined to be benign or in a pre-cancerous stage, we would have already treated your condition by removing the abnormal tissue. If, however, the sample returns positive for cancer and we were unable to remove it totally during the biopsy, then a course of treatment must be developed utilizing other specialists in dental and medical oncology.

You should also be aware that there are actions you can take to reduce your risk of developing oral cancer in the first place: protect yourself from too much sun exposure; moderate your intake of alcoholic beverages; refrain from any tobacco use (smoking and smokeless) or risky sexual activity; and eat a plant-based, whole food diet. These actions coupled with vigilance for early detection can make a difference in your oral health — it may even save your life.

If you would like more information on oral cancer, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Oral Cancer.”


ChildStarNolanGouldTalksAboutToothExtractionsOrthodonticTreatment

Nolan Gould of the hit TV show Modern Family has an uncommon gift for comedy, but he also has a very common orthodontic problem: too many teeth for the size of his mouth, which often results in “crowding.”

“My teeth used to be pretty messed up,” Nolan recently told Dear Doctor magazine in an exclusive interview. “I had two extra teeth when I was born. They hadn't come out (erupted) yet. And all the other teeth that were already there were starting to point backwards because it was getting so crowded in my mouth. They had to remove those two (extra) teeth,” he said.

Although being born with extra teeth is somewhat unusual, needing to have teeth extracted for orthodontic reasons is not. In fact, orthodontic treatment often involves removing teeth to relieve crowding. It makes sense when you think about it: When there are too many teeth for the size of the dental arches (upper and/or lower jaws) or the teeth are larger in size than the dental arch can accommodate, there may not be enough space to align them properly. The necessary space can be created by removing teeth.

The teeth most frequently extracted for orthodontic reasons are the first bicuspid teeth. These are the ones right between the cuspid, or eyeteeth (under the eyes) and the molars (biggest back teeth). Once there is enough space, the orthodontist can choose from a variety of orthodontic appliances to align the teeth, depending on the specific needs of the individual.

In Nolan's case, it was the extra two teeth he was born with that were removed. Afterwards, the young actor's orthodontist was able to shift Nolan's remaining teeth into proper alignment using orthodontic appliances called Crozats. Made of metal wires, Crozats go around the back teeth and behind the front teeth, making them virtually invisible.

“You can remove them, which is really good for acting, especially because you can't see them,” Nolan explained. “I can wear them 24/7 and nobody will ever notice.”

Nolan's orthodontic appliances may not be noticeable, but his fabulous smile certainly is!

If you would like to learn more about improving tooth alignment with orthodontics, please contact us today to schedule an appointment for a consultation. If you would like to read Dear Doctor's entire interview with Nolan Gould, please see “Nolan Gould.” Dear Doctor also has more on “Tooth Removal for Orthodontic Reasons.”