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Welcome Home. Welcome to Oral Health. Lora Kordyshevskiy Megan Ernst Monica Seth

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Todays Agenda POWERPOINT PRESENTATION Oral Hygiene Products The basics Oral Cancer What to look for Where to look for it How to look for it Oral Complications Drugs Nutrition Oral-systemic link

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Todays Agenda Q&A WORK STATIONS Oral Hygiene Products Oral Cancer Screening POST-TEST & EVALUATION

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Oral Hygiene Products on the Market How to Care for Your Teeth

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Oral Hygiene Products Manual Toothbrushes Brands include: Crest, Colgate, \ Arm and Hammer, WaterPik

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Oral Hygiene Products Power Toothbrushes Oral-B -Sonicare Other Brands?

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Oral Hygiene Products Effectiveness?

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Oral Hygiene Products Floss Waxed Unwaxed Flavored Super Floss Bridge Threaders

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Oral Hygiene Products Air Floss WaterPik Stim-U-Dent

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Oral Hygiene Products Mouthwashes Alcohol-Free

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Oral Hygiene Products Fluoride Rinses

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Oral Hygiene Basics Brush twice daily Morning and night Recommended to use a power toothbrush Angle toothbrush at a 45 degree angle

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Oral Hygiene Basics Use a fluoridated toothpaste

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Oral Hygiene Basics Floss daily

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Oral Complications Drug/smoking effects Nutritional Counseling Oral-Systemic Link

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Marijuana Periodontal Disease Rapid progression Dry Mouth Cavity Cancer of Head & Neck Commonly found in the floor of the mouth & tongue Gingival Hyperplasia Squamous Cell Carcinoma- Leukoplakia

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Methamphetamine Meth Mouth Worn down teeth Chronic bruxism Anxiety and/or withdrawals Jaw clenching Rampant Cavity Dry mouth Poor diet Poor oral hygiene Dissolved enamel Acidity of chemicals Stomach content Gingival lacerations Erosive chemicals Parageusia Common bad taste

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Cocaine Smoking Wheezing Hoarseness Burns & oral lesions Gingival Application Increase risk of cavities Enamel thinning Oral lesions Snorting Loss of smell Nose bleeds Runny noses Irritation & Inflammation Nasal septum Sinuses Palatal Defects Difficulty swallowing, speaking, eating & drinking

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Tobacco 75% of all oral cancer is related to tobacco use Oral Cancer Leukoplakia Squamous cell carcinoma Mucosal Lesions Occurs frequently on the sides of the tongue, floor of the mouth, lip and cheeks, but can be anywhere in the mouth Periodontal disease Rapid progression Cavity High sugar content in smokeless tobacco

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Nutrition Frequency vs. Amount Do not graze Types of Food Banana vs. apple Chocolate vs. caramel Soft-Drinks Acid = erosion Sugar content

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Nutrition

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Oral-Systemic Link Periodontal Disease Heart Disease Stroke Diabetes Cavity Infections (abscess) Gastrointestinal problem Ulcers Stomach cancer Oral Lesions Autoimmune disorders HIV/AIDS Nutritional deficiencies Immune deficiency Cancer

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ORAL CANCER: What, Where, and How?

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Oral Cancer Facts #6 killer in the world 30,990 new cases diagnosed in US in 2006 7,430 died from oral cancer in 2006 http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2- minutes/article/130902/

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What to look for? Five most common signs and symptoms: 1.White patches 2.Red patches 3.A sore that would not heal 4.Pain 5.Swelling

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White patches (leukoplakia) Most common Cannot be whipped off Occasionally become cancerous

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Red patches (etythroplakia) Bright color Smooth Most often become cancerous or malignant

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Mixed color

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Prolonged healing A sore that would not heal Most sores heal within 10 to 14 days Call a doctor if it does not heal after 2 weeks Avoid hot and spicy foods and beverages Rinse mouth with warm salt water

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Pain Difficulty swallowing and/or chewing Tongue pain Jaw pain Sore throat Earache http://www.mayoclinic.com/health/mouth-cancer/DS01089/DSECTION=symptoms

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Swelling http://www.kpjklang.com/article-detail.php?artid=7

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Reducing the risk of mouth cancer Not smoking Drinking less alcohol Avoiding smokeless or chewing tobacco Eating a healthy diet

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Where to look for it? 5 most common areas for cancer: Tongue Floor of the mouth Cheek Soft/hard palate Lips

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Where to look for it? Tongue up to 75% Sides and back http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/

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Where to look for it? Floor of the mouth up to 15-20% http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/

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Where to look for it? Cheek up to 10% http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/

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Where to look for it? Soft palate up to 10-15% Hard palate up to 5% http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/

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Where to look for it? Lips 5% http://www.anewskin.info/laserphotos.shtml

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How to look for it? You will need: Mirror Gauze Flashlight (optional) http://homedesignsweb.com/contemporary-bathroom-mirrors-the-perfect-assemble http://www.jantraindonesia.com/eng/index.php?option=com_content&view=article&id=76%3Aproduk&catid=39%3Akat b&Itemid=69&lang=en http://www.harborfreight.com/adjustable-beam-2aa-flashlight-3852.html

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How to look for it? Oral Cancer Self Check Video: http://www.youtube.com/watch?feature=player _detailpage&v=4oZw0FTZmy4

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How to look for it? Remove any dental appliances from your mouth. Visually look and touch your mouth, including the lips and gums. Check the roof of your mouth. Check the inside of the cheeks and the back gums. Check the tongue, including the sides and underneath. Check for enlarged lymph nodes in the neck and under the jaw.

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References http://www.mayoclinic.com/health/mouth-cancer/DS01089/DSECTION=symptoms http://www.medicinenet.com/oral_cancer/page4.htm#what_are_the_symptoms_of_oral_cancer http://www.nlm.nih.gov/medlineplus/ency/article/003059.htm http://www.kpjklang.com/article-detail.php?artid=7 http://www.jaapa.com/oral-cancer-how-to-find-this-hidden-killer-in-2-minutes/article/130902/ http://www.cancerresearchuk.org/cancer-info/cancerstats/types/oral/incidence/uk-oral-cancer-incidence-statistics http://www.anewskin.info/laserphotos.shtml http://medicalcenter.osu.edu/patientcare/healthcare_services/mens_health/oral_cancer/Pages/index.aspx http://www.youtube.com/watch?feature=player_detailpage&v=4oZw0FTZmy4 http://homedesignsweb.com/contemporary-bathroom-mirrors-the-perfect-assemble http://www.jantraindonesia.com/eng/index.php?option=com_content&view=article&id=76%3Aproduk&catid=39%3Akatb& Itemid=69&lang=en http://www.harborfreight.com/adjustable-beam-2aa-flashlight-3852.html

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Thank you! Questions?