oral cancer
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Oral Cancer. Michael L. Huband, D.D.S. Director of Maxillofacial Prosthodontics Department of Oral and Maxillofacial Surgery VCU School of Dentistry. Native of Chesterfield County Graduate VCU Dental School Prosthodontic residency at LSU - PowerPoint PPT PresentationTRANSCRIPT
Oral CancerOral CancerMichael L. Huband, D.D.S.Michael L. Huband, D.D.S.
Director of Maxillofacial ProsthodonticsDirector of Maxillofacial ProsthodonticsDepartment of Oral and Maxillofacial Department of Oral and Maxillofacial
SurgerySurgeryVCU School of DentistryVCU School of Dentistry
About MeAbout Me Native of Native of
Chesterfield CountyChesterfield County Graduate VCU Graduate VCU
Dental SchoolDental School Prosthodontic Prosthodontic
residency at LSUresidency at LSU Maxillofacial Maxillofacial
Prosthetics Prosthetics Fellowship M.D. Fellowship M.D. Anderson Cancer Anderson Cancer CenterCenter
Cleveland ClinicCleveland Clinic
Oral and Pharyngeal Oral and Pharyngeal CancerCancer
It is predicted that 37,000 people in It is predicted that 37,000 people in the United States will be diagnosed the United States will be diagnosed with oral and pharyngeal cancer in with oral and pharyngeal cancer in 20122012
Over 8000 people will die of this Over 8000 people will die of this disease this year.disease this year.
That’s about one death every hourThat’s about one death every hour Source: Oral Cancer FoundationSource: Oral Cancer Foundation
Oral Cancer in VirginiaOral Cancer in Virginia
460 new cases of oral cancer 460 new cases of oral cancer diagnosed in 2009diagnosed in 2009
160 deaths from oral cancer in 2009160 deaths from oral cancer in 2009 Five year survival ratesFive year survival rates
Early detection – 80 to 90%Early detection – 80 to 90% Late detection – 45%Late detection – 45%
Most detected late. Economic, gender & Most detected late. Economic, gender & racial disparities.racial disparities.
Source: The American Cancer Society and Source: The American Cancer Society and the Oral Cancer Foundationthe Oral Cancer Foundation
Causes of Oral CancerCauses of Oral Cancer
AlcoholAlcohol TobaccoTobacco
Cigarettes & cigarsCigarettes & cigars Smokeless Smokeless
AgeAge Poor nutritionPoor nutrition Believed that Believed that
patient earned patient earned their cancertheir cancer
Causes of Oral CancerCauses of Oral Cancer
Human Papilloma Human Papilloma VirusVirus
Linked to cervical Linked to cervical cancercancer A woman’s chances of A woman’s chances of
developing oral versus developing oral versus cervical cancer are cervical cancer are equalequal
HPV-16 found in about HPV-16 found in about 2 out of 3 oral and 2 out of 3 oral and pharyrngeal cancerspharyrngeal cancers Tongue & tonsilsTongue & tonsils
Causes of Oral CancerCauses of Oral Cancer
Oral cancer is on Oral cancer is on the rise in younger the rise in younger patients without patients without traditional risk traditional risk factorsfactors
Changes in sexual Changes in sexual behaviorbehavior Increase in oral sexIncrease in oral sex
TreatmentTreatment of Oral Cancer of Oral Cancer
Majority treated with surgery and Majority treated with surgery and radiation therapyradiation therapy
Oral Cancer.Oral Cancer. RobertRobert Ord & Remy BlanchaertOrd & Remy Blanchaert
Complications of Complications of TreatmentTreatment
Dry mouthDry mouth CavitiesCavities Oral communication Oral communication
with the sinuses with the sinuses Difficulties speaking, Difficulties speaking,
drinking and eatingdrinking and eating MalocclusionMalocclusion Facial deformitiesFacial deformities Isolation from societyIsolation from society
Reducing ComplicationsReducing Complications
Pre-treatment Pre-treatment dental examination dental examination to prevent or to prevent or reduce oral reduce oral complicationscomplications
OsteoradionecrosisOsteoradionecrosis Bone which can not Bone which can not
healheal Hyperbaric oxygen Hyperbaric oxygen
treatmenttreatment
Restoring FunctionRestoring Function
Prostheses Prostheses fabricated by a fabricated by a maxillofacial maxillofacial prosthodontist to prosthodontist to restore form and restore form and functionfunction ObturatorsObturators Facial prosthesesFacial prostheses Palatal augmentationsPalatal augmentations Resection prosthesesResection prostheses ImplantsImplants
Restoring FunctionRestoring Function
Facial prosthesesFacial prostheses
Restoring FunctionRestoring Function
Dental implantsDental implants
Warning Signs of Oral Warning Signs of Oral CancerCancer
A sore which does not healA sore which does not heal Changes in tissue colorChanges in tissue color Difficulty speaking or swallowingDifficulty speaking or swallowing Unexplained bleedingUnexplained bleeding Trouble openingTrouble opening
Dental CheckupsDental Checkups
Comprehensive, head, neck and oral Comprehensive, head, neck and oral tissue examinationstissue examinations
Assist with tobacco cessationAssist with tobacco cessation Dental exam prior to cancer Dental exam prior to cancer
treatmenttreatment
VaccineVaccine
GardasilGardasil 3 injections over 6 months3 injections over 6 months HPV 6,11,16,18HPV 6,11,16,18
Females age 9 to 26 helps protect Females age 9 to 26 helps protect against cervical cancer and genital against cervical cancer and genital wartswarts
Males age 9 to 26 helps protect Males age 9 to 26 helps protect against genital wartsagainst genital warts
May help prevent oral cancerMay help prevent oral cancer
Best Patient CareBest Patient Care
Integrated Integrated research and research and practicepractice Basic scienceBasic science Tissue engineeringTissue engineering Surgical techniquesSurgical techniques ProstheticsProsthetics Educating patients Educating patients
and cliniciansand clinicians
VCU Response to VCU Response to Community NeedsCommunity Needs
Dental and dental hygiene students Dental and dental hygiene students rotate through community clinicsrotate through community clinics
Faculty and students participate in Faculty and students participate in MOM Projects (Missions of Mercy)MOM Projects (Missions of Mercy)
Jamaica ProjectJamaica Project
Over 25 years of serviceOver 25 years of service Duncans JamaicaDuncans Jamaica Senior dental and Senior dental and
dental hygiene students dental hygiene students
Jamaica ProjectJamaica Project
ExtractionsExtractions Fillings Fillings CleaningsCleanings EducationEducation
Contact InformationContact Information
Dr. Michael HubandDr. Michael [email protected] VCU Faculty PracticeVCU Faculty Practice521N. 11521N. 11thth Street, Richmond, VA Street, Richmond, VA804-828-3368804-828-3368 VCU Jamaica ProjectVCU Jamaica ProjectMr. Ed Kardos, [email protected]. Ed Kardos, [email protected]
Questions?Questions?