My Blog

Posts for: April, 2013

By Mark Lukin
April 27, 2013
Category: Oral Health
Tags: oral cancer  
FiveThingsYouShouldKnowAboutOralCancer

Like a shadowy figure hovering at the edge of the movie frame, cancer may be scariest when you can't see it clearly. That's why, instead of looking away, many people have chosen to take a proactive attitude toward the disease. They're learning about the benefits of prevention, early detection and treatment — and so can you. How much do you know about oral cancer? Here are five fast facts.

Oral cancer isn't just an older person's disease.

In the past, people over 40 years of age were the main population group in which oral cancer was found. But in recent years, a growing number of young people have also been diagnosed with the disease. The sexually transmitted Human Papilloma Virus (HPV16) is thought to be responsible for the increase in oral cancer among younger people.

Oral cancer can de deadly.

While it accounts for just 2-3% of all cancers, its survival rate is far lower than lots of cancers you've heard more about. Why? Because its symptoms can be hard to tell from more benign mouth sores, and isn't caught in the early stage often enough. When discovered in its later stages, the 5-year survival rate for this disease is just 58%.

There are several risk factors for oral cancer.

Moderate to heavy drinkers and users of tobacco products — whether smoked or smokeless — are at far greater risk than non-users. Chronic exposure to the sun, besides leading to skin cancer, is also clearly associated with cancers of the lip. And, because of HPV, the same risk factors for other sexually transmitted diseases apply to oral cancer as well. Genetic predisposition also plays a role, as it does in many other diseases.

Lifestyle choices can decrease the odds of getting oral cancer.

Obviously, giving up tobacco, moderating alcohol consumption and avoiding risky sexual behavior will mitigate these risk factors. But you can also lessen your chances of getting the disease by eating a healthy diet. Studies have shown that a high intake of fruits and vegetables is protective against oral cancer — and other cancers as well.

Early detection boosts the survival rate for oral cancer above 80%.

Yet the earliest symptoms of oral cancer are hard for many people to distinguish from common maladies like cold sores. What's the best way to detect it? Do something you should be doing anyway — get regular dental checkups! We're trained to find the signs of a potential problem via a quick, painless screening that can be done at your routine checkup. We can also schedule biopsies or other diagnostic tests if they're needed.

If you have concerns about oral cancer, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Oral Cancer” and “Diet and Prevention of Oral Cancer.”


Tooth-ColoredFillingsTrueorFalse

Do you have silver dental fillings that you wish you didn't have? Wouldn't it be nice if no one could look in your mouth and see how many cavities you had as a kid? Tooth-colored fillings may offer a solution to the problem of too much metal in your mouth. How much do you really know about non-metallic tooth-colored fillings? Take our quiz and find out.

True or false: Tooth-colored fillings are a radical new technology.

False. A variety of dental porcelains and composite resins have been successfully used in tooth restoration for many years. These materials have been designed to mimic the properties of the two major components of teeth: the hard outer enamel, and the bone-like inner dentin. Our increasing understanding of tooth structure and composition has led to better and more natural-looking filling substances.

True or false: Teeth must remain rigid under the pressure of the bite.

False. At one time, metal amalgam (silver) fillings were preferred because of their extreme hardness. But we now know that the crowns of our teeth actually flex under the forces of the bite. This discovery has spurred the development of new methods and materials to stabilize the restored tooth and reduce the incidence of premature failure.

True or false: It's usually more complicated to put in a tooth-colored filling than a metal one.

False. Regardless of which material is used, the basic process of filling a tooth is the same. The dentist prepares the tooth for treatment, removes decay, and places a filling directly into the tooth. If the filling is moderately deep, a tooth-colored filling may be set in several layers which are successively “cured” or hardened. More extensive restorations may require more than one visit, but the natural-looking results generally justify the extra time.

True or false: Regular metal fillings make the tooth structure stronger.

False. Properly securing an amalgam filling may require the tooth to be “undercut,” meaning that a greater amount of healthy tooth material must be removed. This can weaken the tooth structure, eventually leading it to chip and crack. Non-metallic fillings don't require undercutting, so more tooth structure is left intact. This more conservative treatment can result in a stronger, longer-lasting restoration.

True or false: Non-metallic (tooth-colored) fillings are safer than silver fillings.

False. While each method has advantages and disadvantages, and may not be an appropriate treatment in every situation, both methods have been deemed safe and effective by major U.S. and international science and health organizations. While there have been recent concerns about mercury in amalgam fillings, there is presently no reason to believe that it presents any cause for concern.

If you would like more information about tooth-colored fillings, 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 “The Natural Beauty of Tooth-Colored Fillings.”


CanOralAppliancesHelpYouGetAGoodNightsSleep

Do you snore? You can admit it. Most everyone does, from time to time. But if snoring becomes a frequent and disturbing feature of your nighttime routine, it may be more than just an annoyance. Did you know that excessive snoring — when accompanied by irritability and depression, daytime sleepiness and confusion, and/or several other physical and mood problems — is one of the common symptoms of a sleep-related breathing disorder (SRBD)?

SRBDs are potentially serious conditions, with consequences that can range from poor workplace performance to possible cardiovascular and brain damage. One of the most significant of these maladies is called Obstructive Sleep Apnea, or OSA, a condition in which the tongue and surrounding soft tissues fall back into the throat and obstruct air flow. This reduces oxygen levels in the blood, causing the body to wake suddenly — and in severe cases, it can happen up to 50 times an hour, without a person consciously realizing it.

Needless to say, that doesn't make for a good night's sleep. But even if it turns out your snoring problem isn't severe OSA, it can still prevent you (and your partner) from feeling refreshed in the morning. Did you know that we may be able to recommend an oral appliance that has been proven to alleviate problem snoring in many cases? This custom-made device, worn while you're sleeping, helps maintain an open airway in the throat and reduce breathing problems.

If you have this condition, it's critical that you get professional advice. Dentists who have received special training in sleep problems can evaluate you, provide medical referrals when needed, and help determine the type of appliance that may work best for you. Since sleep disorders can be problematic, a thorough evaluation and follow-up monitoring is essential.

Several treatments for SRBDs are available. But oral appliance therapy, when it's recommended, offers some distinct advantages. The small appliances are comfortable, easy to wear, and very portable — unlike more complex medical devices such as CPAP machines. They're a non-invasive and reversible treatment that should be considered before undertaking a more intensive treatment, like surgery. Could an oral appliance benefit you? Why not ask us if we can help you get a good night's sleep.

If you would like more information about oral appliance therapy for sleep problems, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Sleep Disorders and Dentistry” and “Sleep Apnea FAQs.”