Category Archives: Oral Care

About Dental Implants Part 1

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Dental implants are now increasingly used to attach crowns, bridges or dentures by anchorage to bone. Despite its benefits, placement of implants requires careful patient selection and treatment planning to ensure long-term success of implants. Continue reading

Thalassemia and oral healthcare

What is Thalassemia?

Hemoglobin is the protein found in red blood cells in our blood that is responsible for carrying oxygen to all the different parts of out body. Hemoglobin is made up of 4 protein chains, ie 2 beta globin and 2 alpha globin. Thalassemia occurs when there is decrease in production or absence of production of either of these chains, leading to malfunctioning hemoglobins that are unable to carry oxygen. This then leads to anemia.
Thalassemia is thus classified by the type of globin that is affected: either alpha thalassemia or beta thalassemia, and each is classified according to the severity of which one is affected, ie either thalassemia major or thalassemia minor. People with thalassemia minor, either alpha or beta, may not have any symptoms. Continue reading

Oral healthcare in stroke patients

What is a stroke?

A stroke, also called cerebrovascular accident (CVA), is a condition whereby the blood supply to the brain is blocked leading to lack of oxygen supply to the brain cells. Brain cells can die when the oxygen supply is cut off for even a few seconds. This leads to loss of function of parts of the body controlled by that region of the brain. If the right side of the brain is affected, the left part of the body will be affected and vice versa.

 

There are two types of stroke based on their etiology:

Hemorrhagic stroke

Continue reading

Biopsy: What to Expect

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Sometimes you may hear the term ‘biopsy’ when investigations are required for certain lesions in the mouth. Biopsy sounds like a scary procedure that brings the word ‘cancer’ to mind but in fact it is just an aid for diagnostic purposes. Continue reading

What is an Overdenture for Teeth?

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Advanced periodontal or gum disease usually cause loose or painful teeth. If many of your teeth have become loose or painful, it may be too late for to save them. In such a situation, removing some of your teeth and replacing them with an overdenture may be the best way to avoid infection and restore function and health to your mouth. Continue reading

Oral Cancer: Treatment Options and Complications

Continued from Part 4

What are the principles of treatment for oral cancer?

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Individuals with oral cancer often present too late for cure and some may not benefit from treatment. Three treatment options are possible:

  • Attempted cure
  • Active palliative care
  • Supportive care only pending death

If cure is attempted, the highest chances of success are given by multimodality treatment – a combination of surgery, radiotherapy, and more rarely, chemotherapy. The most aggressive treatment that the individual is able to withstand will be recommended because if the first round of treatment fails, the chances of survival are much reduced. Continue reading

Oral Cancer: Investigations and Staging

Continued from Part 3

What are the investigations needed for oral cancer?

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Investigations are done to see the extent of cancer and to confirm the diagnosis. The following investigations may be indicated:

  • Jaw radiography or x-ray
  • Chest x-ray or computed tomography (CT). This is important as a pre-anesthetic check especially in individuals with known airways disease, and to demonstrate second primary tumors or spread to lungs or lymph nodes, ribs or vertebrae.
  • Magnetic resonance imaging (MRI) or CT of the primary site, of the head and neck, and suspected sites of distant spread. MRI is particularly useful to determine tumor spread, soft tissue involvement and lymph nodes involvement.
  • Electrocardiography
  • Blood test: full blood picture and hemoglobin, blood for grouping and cross-matching, urea and electrolytes, and liver function tests.
  • Biopsy. Biopsy is a tissue sample taken for histopathological analysis and it gives confirmative diagnosis. Continue reading

Oral Cancer: Risk Factors Part 3 and Symptoms

Continued from Part 2

Chronic infections

candidal leukoplakia in a person who smokes heavily © powerbasetx.org

Chronic candidal infection

This is often associated with speckled leukoplakias and such lesions are particularly prone to undergo cancerous transformation, though the role of candidal or yeast infection in malignant transformation must be regarded as uncertain. Continue reading

Oral Cancer: Risk Factors Part 2

Continued from Part 1

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Betel quid (paan) and other chewing habits

Paan chewing is one of the most widespread habits in the world and is practiced by over 200 million people worldwide. It is particularly common in South-East Asia and the Indian subcontinent and is also prevalent within these ethnic communities in parts of the USA. The composition of the quid varies but basically consists of betel nut and slaked lime wrapped in a betel leaf to which tobacco and various spices are often added. The quid is usually placed in the cheek pockets and is frequently kept in the mouth for a long time. As the quid is chewed, alkaloids are released from the nut and the tobacco which are said to aid digestion and to produce a slight euphoric effect. The habit is more common in women than in men, and although the frequency of use increases with age the habit often starts in childhood. Continue reading

Oral Cancer: Facts and Risk Factors Part 1

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Oral cancer is the sixth most common cancer reported worldwide. Oral cancer affects twice as many men as in women. For every 100,000 people, 6.3 males and 3.2 females are likely to develop mouth cancer. However this difference is less than it has been in the past, partly due to changes in smoking habits. Continue reading