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Posts for tag: oral cancer

By Edward C. Smith, DMD, MPH, LLC
October 01, 2018
Category: Oral Health
SteelyDanFoundersDeathHighlightsImportanceofEarlyCancerDetection

Fans of the legendary rock band Steely Dan received some sad news a few months ago: Co-founder Walter Becker died unexpectedly at the age of 67. The cause of his death was an aggressive form of esophageal cancer. This disease, which is related to oral cancer, may not get as much attention as some others. Yet Becker's name is the latest addition to the list of well-known people whose lives it has cut short—including actor Humphrey Bogart, writer Christopher Hitchens, and TV personality Richard Dawson.

As its name implies, esophageal cancer affects the esophagus: the long, hollow tube that joins the throat to the stomach. Solid and liquid foods taken into the mouth pass through this tube on their way through the digestive system. Worldwide, it is the sixth most common cause of cancer deaths.

Like oral cancer, esophageal cancer generally does not produce obvious symptoms in its early stages. As a result, by the time these diseases are discovered, both types of cancer are most often in their later stages, and often prove difficult to treat successfully. Another similarity is that dentists can play an important role in oral and esophageal cancer detection.

Many people see dentists more often than any other health care professionals—at recommended twice-yearly checkups, for example. During routine examinations, we check the mouth, tongue, neck and throat for possible signs of oral cancer. These may include lumps, swellings, discolorations, and other abnormalities—which, fortunately, are most often harmless. Other symptoms, including persistent coughing or hoarseness, difficulty swallowing, and unexplained weight loss, are common to both oral and esophageal cancer. Chest pain, worsening heartburn or indigestion and gastroesophageal reflux disease (GERD) can also alert us to the possibility of esophageal cancer.

Cancer may be a scary subject—but early detection and treatment can offer many people the best possible outcome.┬áIf you have questions about oral or esophageal cancer, call our office or schedule a consultation. You can learn more in the Dear Doctor magazine article “Oral Cancer.”

By Edward C. Smith, DMD, MPH, LLC
August 12, 2018
Category: Oral Health
Tags: oral cancer  
RegularScreeningsCouldHelpWithEarlyOralCancerDetection

Your regular dental checkups should periodically include an important screening for oral cancer, especially as you grow older. Although oral cancers make up less than 3% of all other types, they’re among the most deadly with a 58% survival rate after five years.

Besides hereditary factors, oral cancer is strongly linked to tobacco use, alcohol abuse or diets low in fresh fruits and vegetables. It’s also a greater concern as we age: 90% of new cases of oral cancer occur in people over the age of 40, heightening the need for regular screenings. These screenings become all the more important because many early sores or lesions can mimic other conditions like canker sores — without early detection, the disease could already be in advanced stages when it’s diagnosed.

An oral screening for cancer involves both sight and touch. We’ll first look for any suspicious lesions and red or white patches in the soft tissues of the face, neck, lips and mouth. We’ll then feel for any abnormal lumps on the mouth floor, the sides of the neck and in gland locations. We’ll also examine all sides of the tongue including underneath, as well as the tissues lining the back of your throat.

If we notice anything that’s concerning we may then perform a biopsy by removing a small bit of the suspicious tissue and have it examined microscopically for the presence of cancer cells. We may also remove any lesions deemed pre-cancerous as an added precaution against possible cancer development.

The American Cancer Society recommends an oral cancer screening annually for people forty years or older and every three years for people between the ages of 20 and 39. Even better, we recommend all adults undergo a screening every year. This, along with ending tobacco use and other lifestyle and dietary changes, will greatly improve your chances of remaining free of oral cancer.

If you would like more information on detecting and treating 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.”

By Edward C. Smith, DMD, MPH, LLC
April 09, 2014
Category: Oral Health
Tags: oral cancer  
OralCancerRiskFactorsandPrevention

Oral cancer is a serious health problem, responsible for the death of about one person every hour, every day in the United States. It was once thought that folks over 40 were chiefly at risk for the disease. If present trends continue, however, younger people may soon form the majority of oral cancer patients. So, no matter who you are, it makes sense to recognize the risk factors, and find out what you can do to reduce your chances of getting the disease.

As in many other diseases, genetic factors play a role in determining whether an individual will develop oral cancer. At present, there's nothing we can do about these inborn traits. But there are several choices we can make that will lessen our risk of oral cancer. Most of these risky behaviors are associated with other types of cancer as well.

Moderate to heavy drinkers, and users of tobacco products of all types, are as much as 9 times more likely to develop the disease than non-users. Chronic exposure to the sun has long been associated with the development of cancers of the lip. And, because the sexually-transmitted Human Papilloma Virus (HPV) can lead to oral cancer, unsafe sexual behavior is a factor that's fast becoming a primary cause of the disease.

So if you need another reason to quit smoking, stop drinking excessively, wear sunscreen and practice safe sex — consider this your warning. But there's still more you can do to reduce your risk for oral cancer, and improve your general health as well.

Eating a plant-based, whole food diet doesn't just reduce your risk of getting oral cancer — it also makes you less likely to develop many other cancers, and various chronic conditions like heart disease. The exact mechanisms by which this happens aren't completely understood, but its effects have been documented in numerous studies.

Avoiding certain chemicals, like the nitrites often found in preserved foods, can reduce cancer risk. And the antioxidants you get by eating a balanced diet rich in fruits and vegetables can help protect your body from cancer-causing substances.

Finally, don't ignore regular cancer screenings. The early signs of oral cancer are difficult for many people to distinguish from common mouth sores — but we are trained to identify possible problem areas, and can schedule further tests if needed. You can get an oral cancer screening (a fast and painless procedure) at your regular dental checkup. And you always get your checkups on time — don't you?

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.”

By Edward C. Smith, DMD, MPH, LLC
September 05, 2013
Category: Oral Health
ActressBlytheDannerIsaLeaderintheFightAgainstOralCancer

After her husband, producer Bruce Paltrow, succumbed to oral cancer in 2002, actress Blythe Danner made it her mission to help save other families from the heartache she and her children (Jake and Gwyneth Paltrow) suffered with his loss. Now active with the Oral Cancer Foundation, Blythe uses her fame to bring awareness to the disease, which she says she and her family knew very little about before Bruce received his diagnosis.

In an interview with People magazine, Blythe said she believes her husband's cancer could have been detected earlier if the family had been alert to the symptoms.

“For months I had noticed Bruce's voice was hoarse,” she said. “I started asking him to see a doctor. But he kept saying, ‘No, no, no, I'm fine.’ ”

When a lump became visible in his neck, he did go to the doctor and found he had a tumor in his throat. The cancer eventually spread to his lymph nodes. Compounding Blythe's sadness is the feeling that she might have been able to do something to prevent her husband's death.

“I feel tremendously guilty,” she told the magazine, noting that she wishes she had simply insisted her husband get himself checked out. “Education and early detection are so important,” she said of her campaign to raise awareness. “That's why I'm doing this.”

Though Bruce Paltrow was a smoker, it's important to note that young, non-smokers comprise the fastest-growing segment of the population being diagnosed with the disease. That's because a sexually transmitted virus known as HPV16 is now a major cause of oral cancer.

Oral cancer screenings are yet another good reason to make regular semi-annual visits to the dentist. We have the training to notice oral abnormalities, and to monitor and/or biopsy any suspicious lesions. At your oral cancer screening, we will feel your neck for lumps and inspect your lips and all inside surfaces of the mouth, including the back of your throat.

Of course, if you or a loved one experience persistent hoarseness, white or red patches or other changes in your mouth or tongue that don't go away in a few weeks, please don't hesitate to come in and see us.

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

By Edward C. Smith, DMD, MPH, LLC
July 15, 2013
Category: Oral Health
Tags: oral cancer  
OralCancerOverviewWhatYouShouldKnow

Cancer is never a pleasant topic. Yet, rather than wish it away, many people have chosen to take an active and positive role in the prevention and early detection of the disease. Did you know that you and your dentist, working together, can help identify a major class of cancers in the early stages? Let's spend a few moments discussing oral cancer.

Oral cancer is dangerous. Although it accounts for a relatively small percentage of all cancers, it isn't usually detected until it has reached a late stage. And at that point, the odds aren't great: only 58% survive 5 years after treatment, a rate far less than that of many better-known cancers. It is estimated that in the United States, this disease kills one person every hour, every day.

Oral cancer used to be thought of as an older person's disease — and it still primarily strikes those over 40 years of age. But a disturbing number of young people have been diagnosed with the illness in recent years, making them the fastest-growing segment among oral cancer patients. This is due to the sexually-transmitted Human Papilloma Virus (HPV16). So, while long-time tobacco users and heavy drinkers still need screenings, most young people do too.

What's the good news? When it's detected early, the survival rate of oral cancer goes up to 80% or better. And having an oral cancer screening is part of doing something you should be doing anyway — getting regular dental checkups. That's one more reason why coming in to our office regularly for your routine examination is so important.

Of course, if you notice any abnormal sores or color changes in the tissue around your mouth, lips, tongue or throat — especially if they don't go away in 2-3 weeks — come in and see us right away. They could be just cold sores — or not.

An oral cancer exam is fast and painless. It involves a visual inspection of the mouth and surrounding area (face, lips, throat, etc.), during which we may also feel for lumps. We'll also gently pull your tongue from side to side, and check underneath it for early signs of a problem. If needed, we can schedule a biopsy for any suspicious areas. Sound easy? It is! So don't ignore it — remember that early detection could save your life.

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